Jeffrey Allen Sullivan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00002853 Issued in WA

Practice address

294 Torbett St
Richland, WA 99354-2664

Phone

(509) 943-5533

Fax

(509) 943-3155

NPI assigned

Nov 1, 2006

Last updated

Feb 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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.

• Diamond Chiropractic PS

  dba Diamond Chiropractic

  • Chiropractor
  • Richland, WA
  • NPI 1114127032
  NPD (past)
• Yakima Valley Chiropractic Center PS

  dba Columbia Valley Chiropractic Center

  • Chiropractor
  • Sunnyside, WA
  • NPI 1942294871
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1083791057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 TORBETT ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542664",
            "telephone_number": "509-943-5533",
            "fax_number": "509-943-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 TORBETT ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542664",
            "telephone_number": "509-943-5533",
            "fax_number": "509-943-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIFIED BUSINESS ID",
            "identifier": "600-216-79",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellyanne Margaret Suarez, FNP-BC
• Radhika K Subramanian, MD
• George William Such, D.C.
• Angela L Sullivan, D.C.
• Icel R Sullivan, ARNP
• Linell Summers, R.C.
• Kristine E Sumner, SLP
• Sun River Speech Therapy, LLC
• Support, Advocacy, and Resource Center
• Surgical Weight Loss Clinic of Eastern Washington PLLC

• Chiropractor in Richland, WA
• Providers in Richland, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.