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MRS. JACKLINE SHINYONYA SUTHERLAND NP NPI 1861882029


NPI Information

NPI: 1861882029
Provider Name: MRS. JACKLINE SHINYONYA SUTHERLAND, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: TARZANA TREATMENT CENTERS INC

PECOS Registration: Yes

Address:
320 E PALMDALE BLVD
PALMDALE, CA
ZIP 93550
Phone: (661) 526-4766
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MRS. Jackline Shinyonya Sutherland, NP is a family nurse practitioner in Palmdale, CA with 12 years of experience. MRS. Jackline Shinyonya Sutherland, NP NPI is 1861882029. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

320 E PALMDALE BLVD
PALMDALE, CA
ZIP 93550-598
Phone: (661) 526-4766

The NPI 1861882029 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.

  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 1/27/2015 and was last updated on 1/26/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily95011529CALIFORNIAYes
2363LF0000XNurse PractitionerFamilyR2068891MINNESOTANo
3363LF0000XNurse PractitionerFamilyCNP 3442MINNESOTANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11537966505MEDICAIDCALIFORNIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.