Kirstin Kjordis Sullivan, LMT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

MA6007028 Issued in WA

Practice address

7735 1St Ave NE
Seattle, WA 98115-4003

Phone

(206) 910-9778

NPI assigned

May 5, 2009

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1114151131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7735 1ST AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154003",
            "telephone_number": "206-910-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7735 1ST AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981154003",
            "telephone_number": "206-910-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KIRSTIN",
        "middle_name": "KJORDIS",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": "MA6007028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie P Sullivan
• Karen Sullivan, LMT
• Karol Andrea Sullivan, DDS
• Katrina Sullivan, DPM
• Kent Sullivan, MD
• Kyle David Sullivan
• Linda Marina Sullivan, RN
• Mark Daniel Sullivan
• Mark David Sullivan, M.D.
• Mary Ann Sullivan, MD

• Community Health Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Community Health Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.