Caitlin Sullivan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

165830 Issued in KY

Practice address

100 Kiana CT
Paducah, KY 42001-6767

Phone

(270) 443-0681

NPI assigned

May 28, 2016

Last updated

Nov 4, 2024By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deanna Edwards Duncan

  • Early Intervention Provider Agency
  • Benton, KY
  • NPI 1053849505
  NPD (past)

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

{
    "created_epoch": "1464393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1083062251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VASSEUR AVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420032160",
            "telephone_number": "573-631-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KIANA CT",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016767",
            "telephone_number": "270-443-0681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Greenwood Pl",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "KY",
            "postal_code": "420257640",
            "country_code": "US",
            "telephone_number": "270-703-7398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-28",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "165830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew L Sublette, MD
• Success Vision Express of Paducah, LLC (Success Vision Express of Paducah)
• Elizabeth Suiter, LCSW
• Megan K Suiter
• Brianna Katherine Sullivan, PHARM D
• Carla Sullivan, APRN
• Charles Blake Sullivan, DPT
• Christa Lea Sullivan
• Cody Sullivan, MD
• Heather R Sullivan

• Speech-Language Pathologist in Paducah, KY
• Providers in Paducah, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.