Lisa Marie Sullender, BS, RN, HN-BC

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

041183-21 Issued in NH

Practice address

39 Simon St
Suite 3a
Nashua, NH 03060-3046

Phone

(603) 881-8300

NPI assigned

Mar 3, 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

Credentials

Bachelor of Science, Registered Nurse

State licenses

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1114167103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SIMON ST",
            "address_2": "SUITE 3A",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603046",
            "telephone_number": "603-881-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SIMON ST",
            "address_2": "SUITE 3A",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603046",
            "telephone_number": "603-881-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLENDER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "BS, RN, HN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NH",
            "license": "041183-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Suarez, MD
• Liana Dacie Succar, PHARMD
• Praveen K Suchdev, MD
• Kenkere G Sudhir, M.D.
• Kelsey Sukerman, BA
• Brendon Sullivan, MSW
• Christine Sullivan, BA
• Jerrilyn N Sullivan, D.C.
• Kristen D. Sullivan, AUD., CCC-A
• Olivia Carmela Sullivan, AGACNP

• General Practice Registered Nurse in Nashua, NH
• Providers in Nashua, NH by specialty
• General Practice Registered Nurse in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.