ERIN SULLIVAN NP NPI 1821442633

NPI Information

NPI: 1821442633
Provider Name: ERIN SULLIVAN, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: PRISMA HEALTH MEDICAL GROUP-MIDLANDS

PECOS Registration: Yes

Address:
300 PALMETTO HEALTH PKWY STE 400
COLUMBIA, SC
ZIP 29212
Phone: (803) 434-3800
Get Directions

Erin Sullivan, NP is a gerontology nurse practitioner in Columbia, SC with 9 years of experience. Erin Sullivan, NP NPI is 1821442633. 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:

300 PALMETTO HEALTH PKWY STE 400
COLUMBIA, SC
ZIP 29212-764
Phone: (803) 434-3800

The NPI 1821442633 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 4/18/2016 and was last updated on 6/30/2021.

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	363LA2200X	Nurse Practitioner	Adult Health	20096	SOUTH CAROLINA	No
2	363LG0600X	Nurse Practitioner	Gerontology	20096	SOUTH CAROLINA	Yes
3	363LP2300X	Nurse Practitioner	Primary Care	20096	SOUTH CAROLINA	No

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	NP4323	MEDICAID	SOUTH CAROLINA

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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