Ellen Marie Sundstrom, RN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60650034 Issued in WA

Practice address

Eleanor Health Seattle Clinic
1120 E Terrace Street Suite 100
Seattle, WA 98122-7405

Phone

(206) 594-1065

Fax

(833) 654-0691

NPI assigned

Jan 10, 2008

Last updated

Aug 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, WA, MA, NJ, CO5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 5

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Eleanor Health Professional Ma, PLLCGroup PAC ID 7416360946, 12 clinicians

Eleanor Health Professional TX, PLLCGroup PAC ID 9335527118, shared by 10 NPIs, 16 clinicians

Eleanor Health Professional NJ, LLCGroup PAC ID 3779904602, 15 clinicians

Eleanor Health Professional Wa PLLCGroup PAC ID 2365855210, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ellen.sundstrom.1@21505.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eleanor Health Professional Wa, PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Everett, WA
  • NPI 1043827132
  Medicare reassignment Care Compare group NPD
• Eleanor Health Professional Ma, PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Brockton, MA
  • NPI 1205446374
  Medicare reassignment Care Compare group NPD
• Eleanor Health Professional NJ, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Cherry Hill, NJ
  • NPI 1790310738
  Medicare reassignment Care Compare group
• Sound Integrated Health LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Tacoma, WA
  • NPI 1558885210
  Medicare reassignment NPD
• Eleanor Health Professional TX, PLLC

  • Addiction Psychiatry Physician
  • Denver, CO
  • NPI 1891583480
  Medicare reassignment NPD
• Eleanor Health Professional TX, PLLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • San Antonio, TX
  • NPI 1932854981
  Medicare reassignment NPD
• Rainier Internal Medicine LLC

  dba Northwest Integrated Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Puyallup, WA
  • NPI 1356716351
  NPD (past)
• Coda, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Seaside, OR
  • NPI 1750912184
  NPD (past)

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1962688788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 BRIDGEPORT WAY SE SUITE 1500 PMB 201",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992332",
            "telephone_number": "214-686-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ELEANOR HEALTH SEATTLE CLINIC",
            "address_2": "1120 E TERRACE STREET SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981227405",
            "telephone_number": "206-594-1065",
            "fax_number": "833-654-0691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8500 Village Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782175510",
            "country_code": "US",
            "telephone_number": "726-201-3047",
            "fax_number": "833-629-0318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDSTROM",
        "first_name": "ELLEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP116342",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "219835",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201907446NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "133766",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60650034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Marit Sundby, MSPT
• Ian Richard Sunderland, MD
• Anna Louisa Sundholm, MHCA
• Erik Sundquist
• Liann Sundquist, CD
• Brian Sung, M.D.
• Chris Sung, DMD
• Clifford Cheng Sung, M.D.
• Jeffrey C Sung
• Kijun Sung, PT, DPT

• Family Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.