Judith A Sullivan, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP11141 Issued in CA

Practice address

170 Alameda de Las Pulgas
Redwood Pulmonary Medical Assoc.
Redwood City, CA 94062

Phone

(650) 367-5636

Fax

(650) 367-5110

NPI assigned

Jun 15, 2006

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

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144264748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 WHIPPLE AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621640",
            "telephone_number": "650-367-5636",
            "fax_number": "650-367-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 ALAMEDA DE LAS PULGAS",
            "address_2": "REDWOOD PULMONARY MEDICAL ASSOC.",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94062",
            "telephone_number": "650-367-5636",
            "fax_number": "650-367-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JUDITH",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP11141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Ray Suelflow, MD
• Sanjana Sukumar
• Ariel Anne Sullivan
• Carrie Sullivan
• Ellen L. Sullivan, MD
• Shannon Sullivan, M. D.
• Summit Psychotherapy Center
• Jason Tai Sun, M.D.
• John Sun, M.D.
• Shawn Wen Sun, PHARM.D.

• Nurse Practitioner in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.