SARA CAMILLE SULLIVAN RN LMT NPI 1831940634

NPI Information

  • NPI: 1831940634
  • Provider Name: SARA CAMILLE SULLIVAN, RN, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 20 PONDEROSA DR
    LONOKE, AR
    ZIP 72086
  • Phone: (501) 762-7951

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NPI Details

Sara Camille Sullivan, RN, LMT is a massage therapist in Lonoke, AR. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Sara Camille Sullivan, RN, LMT NPI is 1831940634. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20 PONDEROSA DR
LONOKE, AR
ZIP 72086-603
Phone: (501) 762-7951

The enumeration date for this NPI number is 3/29/2024 and was last updated on 3/29/2024.

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
1163W00000XRegistered NurseR88651ARKANSASNo
2163W00000XRegistered NurseRN95310083CALIFORNIANo
3225700000XMassage Therapist7055ARKANSASYes

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

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