Abigail R Sullivan, DOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

DOM1230 Issued in NM

Practice address

10433 Montgomery Pkwy NE
Albuquerque, NM 87111-3831

Phone

(505) 226-1610

NPI assigned

Aug 17, 2018

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

Practice roles

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.

• Rain Acupuncture LLC

  • Acupuncturist
  • Albuquerque, NM
  • NPI 1407325079
  NPD (past) Authorized official

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1114407251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 AGUA FRIA ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012577",
            "telephone_number": "505-303-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10433 MONTGOMERY PKWY NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113831",
            "telephone_number": "505-226-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ABIGAIL",
        "middle_name": "R",
        "credential": "DOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "DOM1230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura A Sugars, PT
• Rita Suharli
• Richard James Suhler, MD
• Ass'Yah Queen Sulaimon, MSW
• Michael Sullivan-Mee, O.D.
• Elizabeth Ann-Claire Sullivan, PH.D.
• Jennifer Lynn Sullivan, LCSW
• Jessica Jeanne Sullivan, MD
• Julia Christine Sullivan
• Kathryn Ann Sullivan, M.A.

• Acupuncturist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Acupuncturist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.