NPIMap

Individual provider Active NPI

Anneliese Sullivan, FNP-C

  • Family Nurse Practitioner
  • Glenwood Springs, CO
National Provider Identifier
1023890803
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0999223-NP Issued in CO
Practice address
1906 Blake Ave
Glenwood Springs, CO 81601-4227
Phone
(970) 384-7518
NPI assigned
Oct 17, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0999223-NP CO Primary

Addresses

Primary practice location

1906 Blake Ave
Glenwood Springs, CO 81601-4227

Mailing address

1906 Blake Ave
Glenwood Springs, CO 81601-4227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116001880 CO Practitioner - Nurse Practitioner 0749632792 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley View Hospital AssociationGroup PAC ID 1850294778, 205 clinicians
Grand River Hospital DistrictGroup PAC ID 7113837469, shared by 5 NPIs, 79 clinicians

Practice addresses (Care Compare)

1830 Blake Ave
Suite 207
Glenwood Springs, CO 81601-4261
Phone (970) 384-7510

1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 384-6782

501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-6462

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grand River Hospital District Current Accepting new patients
Grand River Hospital District CurrentSince Jun 1, 2024 Accepting new patients
Grand River Hospital District CurrentSince Jun 1, 2024 Accepting new patients
Valley View Hospital Association CurrentSince Dec 12, 2023 Accepting new patients
Cardinal Pathology PC Current Accepting new patients
Pathology Assoc of the Roaring Fork Current Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association CurrentSince Dec 12, 2023 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Grand River Hospital District Current Accepting new patients
Valley View Hospital Association CurrentSince Dec 12, 2023 Accepting new patients
Valley View Hospital Association Past Accepting new patients

Locations

401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192

1830 Blake Ave
Ste 207
Glenwood Springs, CO 81601
Phone (602) 387-4035

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

1906 Blake Ave
#C
Glenwood Springs, CO 81601
Phone (970) 384-6782

501 Airport Rd
Rifle, CO 81650
Phone (970) 625-1100

Interoperability endpoints

  • Direct secure messaging: anneliese.sullivan.1@9028.direct.athenahealth.com

Organizations & group practices 14

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

View all 14

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1023890803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014227",
            "telephone_number": "970-384-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ANNELIESE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0999223-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.