ARLENE SULLIVAN ANP NPI 1205850542

NPI Information

NPI: 1205850542
Provider Name: ARLENE SULLIVAN, ANP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: ARKANSAS HEALTH GROUP

PECOS Registration: Yes

Address:
9500 KANIS RD
HICKINGBOTHAM OUTPATIENT CENTER
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 202-1902
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Arlene Sullivan, ANP is an acute care nurse practitioner in Little Rock, AR with 27 years of experience. Arlene Sullivan, ANP NPI is 1205850542. 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:

9500 KANIS RD
HICKINGBOTHAM OUTPATIENT CENTER
LITTLE ROCK, AR
ZIP 72205-324
Phone: (501) 202-1902
Fax: (501) 202-1512

The NPI 1205850542 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 enumeration date for this NPI number is 7/27/2006 and was last updated on 5/20/2008.

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
1	363LA2100X	Nurse Practitioner	Acute Care	A01250	ARKANSAS	Yes

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
1	742252	OTHER		HEALTHLINK
2	S61919	MEDICARE UPIN	ARKANSAS
3	71-0781138028	OTHER		TRICARE
4	7525325	OTHER		CIGNA
5	P00325763	MEDICARE PIN
6	5U030	OTHER		BCBS
7	71-0781138	OTHER		MERCY
8	5U030	MEDICARE PIN

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

NPI Synchronization or Removal

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