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SULIS MIND AND BODY LLC
NPI 1528762390
Nurse Practitioner - Psychiatric/Mental Health in Coos Bay, OR

Active since March 28, 2023
180 S EMPIRE BLVD, COOS BAY, OR 97420(541) 203-0154 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 7, 2023, May 23, 2023, May 16, 2023 and 2 more (5 updates tracked since 2023).

About Sulis Mind And Body Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SULIS MIND AND BODY LLC (NPI 1528762390) is a healthcare organization registered as a psychiatric/mental health in Coos Bay, Oregon and active in the NPI registry since March 2023. The organization lists Jamie Mayo, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1528762390
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSULIS MIND AND BODY LLC
Location Address180 S EMPIRE BLVDCoos Bay, OR 97420-3352
Mailing Address2670 Broadway Ave # B115North Bend, OR 97459-2214 · (541) 203-0154 · Fax (541) 982-7030
Phone(541) 203-0154
Organization SubpartNo
Authorized OfficialJamie MayoPmhnp · (830) 370-3765
Enumeration DateMarch 28, 2023
Last NPPES UpdateSeptember 7, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1528762390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
180 S EMPIRE BLVD, Coos Bay, OR 97420
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEE MENTAL WELLNESS
Nurse Practitioner (Psychiatric/Mental Health)
180 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (775) 304-3811
DR. KAREN LOVE BAISINGER D.MIN.
Counselor (Pastoral)
180 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 915-0335
COASTAL ROOTS PSYCHIATRY, LLC
Nurse Practitioner (Psychiatric/Mental Health)
180 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (541) 543-2066
DR. TYLER DAWN COOPER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
180 S EMPIRE BLVD
COOS BAY, OR 97420
Coos County (775) 304-3811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sulis Mind And Body LLC's NPI number?

The NPI number for Sulis Mind And Body LLC is 1528762390. It was assigned to this organization in the NPPES registry on March 28, 2023.

Where is Sulis Mind And Body LLC located?

Sulis Mind And Body LLC is located at 180 S Empire Blvd, Coos Bay, OR 97420. The listed phone number is (541) 203-0154.

What is Sulis Mind And Body LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Sulis Mind And Body LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Sulis Mind And Body LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sulis Mind And Body LLC was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.