Individual provider Active NPI

Clare Sullivan, ARNP

  • Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1154878981
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0992594NP Issued in CO
Practice address
15 W Dry Creek Cir
Littleton, CO 80120-4427
Phone
(303) 952-1105
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9361853 FL
Nurse Practitioner 363L00000X APN0992594NP CO Primary

Addresses

Primary practice location

15 W Dry Creek Cir
Littleton, CO 80120-4427

Mailing address

15 W Dry Creek Cir
Littleton, CO 80120-4427
Phone (303) 952-1100

Other practice location 1

13918 E Mississippi Ave
474
Aurora, CO 80012-3603
Phone (303) 695-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161221000348 CO Practitioner - Nurse Practitioner 5597046094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0992594NPCOMDNurse Practitioner
ARNP9361853FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1154878981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 W DRY CREEK CIR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204427",
            "telephone_number": "303-952-1100",
            "fax_number": "303-952-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W DRY CREEK CIR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204427",
            "telephone_number": "303-952-1105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13918 E Mississippi Ave",
            "address_2": "474",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800123603",
            "country_code": "US",
            "telephone_number": "303-695-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CLARE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9361853",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN0992594NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.