Lisa Sullivan, ST

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

113 Constitution CT Apt a
Albany, GA 31721-2150

Phone

(229) 364-5501

NPI assigned

Mar 15, 2019

Last updated

Mar 15, 2019By the provider in NPPES

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

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1184183550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CONSTITUTION CT APT A",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317212150",
            "telephone_number": "229-364-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CONSTITUTION CT APT A",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317212150",
            "telephone_number": "229-364-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "LISA",
        "credential": "ST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Allen Stripling
• Megan Stroud
• Joseph Wytch Stubbs, MD
• Britton C Suber, PA
• Danielle Nicole Sullivan
• Dominic Suma, M.D.
• Bradley Wilson Summerell, CRNA
• Cynthia E Summerlin, FNP-C
• Summit Women's Care of Albany PC
• Surgical Associates of Albany PC

• Contractor in Albany, GA
• Providers in Albany, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.