JAMES KEITH SULLIVAN FNP NPI 1952933053

NPI Information

  • NPI: 1952933053
  • Provider Name: JAMES KEITH SULLIVAN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8081 INNOVATION PARK DR STE 602
    FAIRFAX, VA
    ZIP 22031
  • Phone: (571) 472-3270

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NPI Details

James Keith Sullivan, FNP is a family nurse practitioner in Fairfax, VA. James Keith Sullivan, FNP 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:

8081 INNOVATION PARK DR STE 602
FAIRFAX, VA
ZIP 22031-867
Phone: (571) 472-3270
Fax: (571) 472-3271

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 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.

  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Programming of single lead pacemaker system (HCPCS:93279)

The enumeration date for this NPI number is 2/6/2020 and was last updated on 8/11/2022.

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
1363L00000XNurse Practitioner27036TENNESSEENo
2363LF0000XNurse PractitionerFamily0024179997VIRGINIAYes

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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