IDA E SUTHERLAND FNP-BC NPI 1003925108

NPI Information

  • NPI: 1003925108
  • Provider Name: IDA E SUTHERLAND, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 600 RANDOLPH ST
    RADFORD, VA
    ZIP 24141
  • Phone: (540) 639-5300

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NPI Details

Ida E Sutherland, FNP-BC is a family nurse practitioner in Radford, VA with 25 years of experience. Ida E Sutherland, FNP-BC NPI is 1003925108. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2000

The provider's business location address is:

600 RANDOLPH ST
RADFORD, VA
ZIP 24141-428
Phone: (540) 639-5300
Fax: (540) 639-4653

The NPI 1003925108 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Vitamin d-3 level (HCPCS:82306)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Urinalysis, manual test (HCPCS:81002)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Hemoglobin a1c level (HCPCS:83036)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)

The enumeration date for this NPI number is 8/30/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily0024167940VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11003925108OTHERVIRGINIAVA PREMIER
21003925108MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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