Catherine B Sullivan, FNP-C

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

5015778 Issued in NC

Practice address

3821 Forrestgate Dr
Winston Salem, NC 27103-2930

Phone

(336) 448-9100

Fax

(336) 778-7995

NPI assigned

Oct 8, 2020

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

Practice roles

Interoperability endpoints

• Direct secure messaging: csullivan1083179@direct.novanthealth.org

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.

• Carolinas Fertility Institute, P.a.

  • Reproductive Endocrinology Physician
  • Winston Salem, NC
  • NPI 1265848808
  NPD (past)

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1144827585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 FORRESTGATE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032930",
            "telephone_number": "336-448-9100",
            "fax_number": "336-778-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 FORRESTGATE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032930",
            "telephone_number": "336-448-9100",
            "fax_number": "336-778-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CATHERINE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5015778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Suggs
• Taylor Sulkowski, DDS
• Amanda S Sullivan, LMHCA
• Andrew Sullivan
• Bridget Sullivan, ATC
• Christopher Albert Sullivan, MD
• Emma Sullivan, PHARMD
• Jessica Laurel Sullivan, MD
• Lindsay Tempel Sullivan, ACNP
• Marie Elizabeth Sullivan, MD

• Women's Health Nurse Practitioner in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Women's Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.