DAVID YUTAKA SULLIVAN FNP NPI 1962751545

NPI Information

  • NPI: 1962751545
  • Provider Name: DAVID YUTAKA SULLIVAN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 INDIANA AVE
    WINSLOW, AZ
    ZIP 86047
  • Phone: (928) 289-6230

Map and Directions

Get Directions

NPI Details

David Yutaka Sullivan, FNP is a family nurse practitioner in Winslow, AZ with 7 years of experience. David Yutaka Sullivan, FNP NPI is 1962751545. 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:

500 INDIANA AVE
WINSLOW, AZ
ZIP 86047-169
Phone: (928) 289-6230
Fax: (928) 289-6229

The NPI 1962751545 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood glucose (sugar) test performed by hand-held instrument (HCPCS:82962)
  • Hemoglobin a1c level (HCPCS:83036)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Bacterial colony count, urine (HCPCS:87086)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 8/29/2012 and was last updated on 4/25/2019.

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
1163WP2201XRegistered NurseAmbulatory CareRN174273ARIZONANo
2363LF0000XNurse PractitionerFamily224965ARIZONAYes

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.