Patricia Beryl Fendall-Sutphen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

00001402 Issued in WA

Practice address

3201 4TH St
Union Gap, WA 98903-1832

Phone

(509) 952-1299

NPI assigned

Mar 16, 2022

Last updated

Mar 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1871241943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 PLEASANT VALLEY RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989088914",
            "telephone_number": "509-952-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 4TH ST",
            "city": "UNION GAP",
            "state": "WA",
            "postal_code": "989031832",
            "telephone_number": "509-952-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENDALL-SUTPHEN",
        "first_name": "PATRICIA",
        "middle_name": "BERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "00001402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Healthcare, Inc (Parkside Nursing Care Center)
• Richard D Edgerly, MD
• Christina Ryan Eglin, MD
• Miguel A Espinoza
• Jennifer Frances Felix, PHARMACIST
• Patrick Ferguson, DDS
• Isabel Fernandez
• Mary Flack
• Tomas Flores
• Erika Galvez-Flores, RN

• Speech-Language Pathologist in Union Gap, WA
• Providers in Union Gap, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.