DEANDRA RENEE SUTHERLAND NPI 1023563707

NPI Information

  • NPI: 1023563707
  • Provider Name: DEANDRA RENEE SUTHERLAND
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 861 WESLEY ST
    NORTH BALDWIN, NY
    ZIP 11510
  • Phone: (718) 807-8479

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NPI Details

Deandra Renee Sutherland is a family nurse practitioner in North Baldwin, NY with 10 years of experience. Deandra Renee Sutherland NPI is 1023563707. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year:2015

The provider's business location address is:

861 WESLEY ST
NORTH BALDWIN, NY
ZIP 11510-433
Phone: (718) 807-8479

The NPI 1023563707 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.

  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)

The enumeration date for this NPI number is 8/23/2016 and was last updated on 8/24/2016.

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
1163W00000XRegistered Nurse604519NEW YORKNo
2363LF0000XNurse PractitionerFamily339860NEW YORKYes

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: 3/30/2025

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