Sunrise Lymphedema Center LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

OT00004331 Issued in WA

Legal business name

SUNRISE LYMPHEDEMA CENTER LLC

Practice address

624 S 18TH Ave
Yakima, WA 98902-4210

Phone

(509) 469-8903

Fax

(509) 452-2444

NPI assigned

May 13, 2008

Organization subpart

No

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

Authorized official

Name

Laurie J Herman, OTR/L

Title

Occupational Therapist

Phone

(509) 469-1769

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1871760462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 S 18TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024210",
            "telephone_number": "509-469-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 S 18TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024210",
            "telephone_number": "509-469-8903",
            "fax_number": "509-452-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE LYMPHEDEMA CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "509-469-1769",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WA",
            "license": "OT00004331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunnyside Community Hospital Association
• Sunnyside Community Hospital Association (Central Washington Rehabilitation Clinic)
• Sunnyside Community Hospital Outpatient Center 5
• Sunridge Oral Surgery
• Sunrise Dental of Yakima
• Sunrise Outreach Center of Yakima
• Chanelle Amber Surginer
• Cynthia M Suriano, D.C.
• Erika Sutton, PHARMD
• Holly Lynn Sutton, BS, AAC

• Rehabilitation Clinic/Center in Yakima, WA
• Providers in Yakima, WA by specialty
• Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.