Katherine Ann Sullivan, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209018516 Issued in IL

Practice address

8501 W Higgins Rd Ste 601
Chicago, IL 60631-2816

Phone

(773) 644-5535

Fax

(773) 644-5582

NPI assigned

Jul 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Modern Compassionate Care

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1821768904
  NPD Authorized official
• Modern Compassionate Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1679294995
  NPD

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

{
    "created_epoch": "1563062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1003468646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 W HIGGINS RD STE 601",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606312816",
            "telephone_number": "773-644-5535",
            "fax_number": "773-644-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 W HIGGINS RD STE 601",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606312816",
            "telephone_number": "773-644-5535",
            "fax_number": "773-644-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-14",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041432733",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Sullivan, MD
• John Michael Sullivan, MD
• Julie A Sullivan
• Karen Sullivan
• Kari A Sullivan
• Kathryn Hope Sullivan, MA, CADC
• Kerry Sullivan, LCSW
• Kerry Sullivan, DPT
• Kimberly Anne Sullivan, L.AC.
• Linda Sullivan, LCPC

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.