MRS. KATIE JO SULLIVAN NP NPI 1649524059

NPI Information

  • NPI: 1649524059
  • Provider Name: MRS. KATIE JO SULLIVAN, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8579 COMMERCE DR STE 104
    EASTON, MD
    ZIP 21601
  • Phone: (410) 822-9133

Map and Directions

Get Directions

NPI Details

MRS. Katie Jo Sullivan, NP is a family nurse practitioner in Easton, MD with 15 years of experience. MRS. Katie Jo Sullivan, NP NPI is 1649524059. 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:

8579 COMMERCE DR STE 104
EASTON, MD
ZIP 21601-420
Phone: (410) 822-9133
Fax: (410) 822-9513

The NPI 1649524059 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 and interpretation of patient-focused health risk assessment (HCPCS:96160)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b (HCPCS:87636)
  • Annual depression screening, 15 minutes (HCPCS:G0444)

The enumeration date for this NPI number is 11/7/2012 and was last updated on 11/6/2024.

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
1363LF0000XNurse PractitionerFamilyR166423MARYLANDYes

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: 11/21/2025

NPI Synchronization or Removal

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.