Christie Dawn Sullivan

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0019006891 Issued in VA

Practice address

10411 Courthouse Rd
Spotsylvania, VA 22553-1798

Phone

(540) 785-7888

NPI assigned

Aug 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Medical Massage Clinic, Inc

  • Massage Therapist
  • Fredericksburg, VA
  • NPI 1013796325
  NPD

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1013100650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6831 BUCK LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076327",
            "telephone_number": "540-786-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10411 COURTHOUSE RD",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531798",
            "telephone_number": "540-785-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CHRISTIE",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019006891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya Sparks
• Spotsylvania County Board of Supervisors
• Spotsylvania Oral Surgery Center PLLC
• Spotsylvania Oral Surgery PLLC
• Laura Marie Sullivan-Simenson, FNP-BC
• Melissa Sullivan
• Kimberly Swaim, MS, CCC/SLP
• Sarah Tabor, BCABA
• Nancy Rae Talley, LAC
• James E Taylor

• Massage Therapist in Spotsylvania, VA
• Providers in Spotsylvania, VA by specialty
• Massage Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.