JAMES KEITH SULLIVAN NPI 1952933053

NPI Information

NPI: 1952933053
Provider Name: JAMES KEITH SULLIVAN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: INOVA HEALTH CARE SERVICES

PECOS Registration: Yes

Address:
8101 HINSON FARM RD
ALEXANDRIA, VA
ZIP 22306
Phone: (703) 780-9014
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James Keith Sullivan is a family nurse practitioner in Alexandria, VA with 5 years of experience. James Keith Sullivan NPI is 1952933053. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8101 HINSON FARM RD
ALEXANDRIA, VA
ZIP 22306-403
Phone: (703) 780-9014
Fax: (703) 780-9077

The NPI 1952933053 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 2/6/2020 and was last updated on 5/3/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		27036	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	0024179997	VIRGINIA	Yes

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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