NPIMap

Organization Active NPI

Sisu Health Clinic LLC

  • Nurse Practitioner
  • Richland, WA
National Provider Identifier
1831817642
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
SISU HEALTH CLINIC LLC
Practice address
945 Stevens Dr
Richland, WA 99352-3508
Phone
(509) 578-1019
Fax
(509) 578-1081
NPI assigned
Aug 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marja Adair, NPNPI 1659818318
Title
NP, Owner
Phone
(704) 773-3878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

945 Stevens Dr
Richland, WA 99352-3508

Mailing address

945 Stevens Dr
Richland, WA 99352-3508
Phone (509) 578-1019

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1831817642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 STEVENS DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523508",
            "telephone_number": "509-578-1019",
            "fax_number": "509-578-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 STEVENS DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523508",
            "telephone_number": "509-578-1019",
            "fax_number": "509-578-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISU HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "ADAIR",
        "authorized_official_first_name": "MARJA",
        "authorized_official_title_or_position": "NP, OWNER",
        "authorized_official_telephone_number": "704-773-3878",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.