Theresa M Sullivan, WHNP-BC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

APN.0998292-NP Issued in CO

Practice address

2706 S Wolff St
Denver, CO 80236-2009

Phone

(740) 275-7467

NPI assigned

Dec 27, 2022

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 names 1

• Theresa Marie Dombrowski Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bella Natural Womens CareGroup PAC ID 1052531787, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: theresa.sullivan.1@9345.direct.athenahealth.com

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.

• Bella Natural Womens Care

  • Obstetrics & Gynecology Physician
  • Englewood, CO
  • NPI 1316354095
  Medicare reassignment Care Compare group NPD
• Bella Natural Womens Care

  • Obstetrics & Gynecology Physician
  • Denver, CO
  • NPI 1760099766
  NPD

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1053024844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 S WOLFF ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802362009",
            "telephone_number": "740-275-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 S WOLFF ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802362009",
            "telephone_number": "740-275-7467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 E Hampden Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801132517",
            "country_code": "US",
            "telephone_number": "740-275-7467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "THERESA",
        "middle_name": "M",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "APN.0998292-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "DOMBROWSKI",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronin Anthony Sullivan
• Sherill Sullivan, B.A.
• Sydney Sullivan, PA
• Talin Eliza Sullivan, FNP
• Tawney M Sullivan
• Rebeka Sultana
• Ersin Sulukioglu, LPC
• Allan Morris Sulzer, M.D.
• Nora Suman
• Jessica Sumber, LCSW

• Women's Health Nurse Practitioner in Denver, CO
• Providers in Denver, CO by specialty
• Women's Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.