Sarah Sullivan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH13104 Issued in FL

Practice address

1321 SE US Highway 19 Ste B
Crystal River, FL 34429-4821

Phone

(352) 340-2895

NPI assigned

Nov 27, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1003410317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 S WALLACE PT",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344298580",
            "telephone_number": "352-340-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 SE US HIGHWAY 19 STE B",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294821",
            "telephone_number": "352-340-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SARAH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASH ONLY SERVICE",
            "identifier": "CH13104",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@intentionalchiropractic.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1321 SE US Highway 19 Ste B",
            "city": "Crystal River",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344294821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James T Stiles
• Stress Less Therapy
• Stress Less Therapy
• Jennifer Suiters, LCSW
• Jenelle Marie Suleyman, APRN, FNP-C
• Suncoast Obstetrics and Gynecology PA
• Suncoast Vascular & General Surgery PA
• Sunshine Gardens/ Crystal River LLC
• Superior Diagnostic Studies
• Superior Therapy Services Inc

• Chiropractor in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.