Patrick L Sullivan

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

101368 Issued in AK

Practice address

3314 Dickson Rd
Anchorage, AK 99504-4035

Phone

(907) 230-7215

NPI assigned

Jul 8, 2020

Sex

Male

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.

• The Joy of Living Alh

  • Assisted Living Facility
  • Anchorage, AK
  • NPI 1932715158
  NPD Authorized official

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1154949949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 DICKSON RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044035",
            "telephone_number": "907-230-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3314 DICKSON RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995044035",
            "telephone_number": "907-230-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "PATRICK",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "101368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Lynn Sullivan, DPT
• Lillian Marie Sullivan, LMT
• Mireille Lissette Sullivan
• Paige Ann Sullivan, PMHNP-BC
• Patrick Sullivan II, LMT
• Sean Alyston Sullivan, CASE MANAGER
• Heather R Sulte, D.D.S., M.S.
• Ivo Sume
• Cornelio Sumera
• Rebekah M Summer, RD

• Assisted Living Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.