Individual provider Active NPI

Nora Eve Sullivan, APRN

  • Family Nurse Practitioner
  • Greenbelt, MD
National Provider Identifier
1043916612
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R214982 Issued in MD
Practice address
115 Centerway Ste 104
Greenbelt, MD 20770-1836
Phone
(240) 424-0697
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 R214982 MD Primary

Addresses

Primary practice location

115 Centerway Ste 104
Greenbelt, MD 20770-1836

Mailing address

26 Ridge Rd Unit a
Greenbelt, MD 20770-0752
Phone (301) 873-6754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R214982MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Old Greenbelt Family Health Family CurrentSince Feb 12, 2023 Accepting new patients
Old Greenbelt Family Health Family CurrentSince Dec 22, 2024 Accepting new patients

Locations

115 Centerway
Ste 104
Greenbelt, MD 20770
Phone (240) 424-0697

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1043916612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 RIDGE RD UNIT A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207700752",
            "telephone_number": "301-873-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CENTERWAY STE 104",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701836",
            "telephone_number": "240-424-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "NORA",
        "middle_name": "EVE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R214982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.