KATHLEEN SULLIVAN RN NPI 1285057687

NPI Information

NPI: 1285057687
Provider Name: KATHLEEN SULLIVAN, RN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2380 TIMBERCREST CIR W
CLEARWATER, FL
ZIP 33763
Phone: (727) 799-7828
Get Directions

Kathleen Sullivan, RN is a psychiatric/mental health nurse practitioner in Clearwater, FL. Kathleen Sullivan, RN NPI is 1285057687. 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:

2380 TIMBERCREST CIR W
CLEARWATER, FL
ZIP 33763-624
Phone: (727) 799-7828
Fax: (727) 799-1680

The NPI 1285057687 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 1/22/2014 and was last updated on 2/16/2022.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN11007033	FLORIDA	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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