Meghan Elizabeth Sullivan, MS, ATC, CES, PES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A0000225 Issued in MD

Practice address

1000 Hilltop Cir
Rac 221
Baltimore, MD 21250-0001

Phone

(410) 455-1664

Fax

(410) 455-1191

NPI assigned

Apr 10, 2015

Sex

Female

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1205222841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7931 MAIN ST",
            "city": "ORCHARD BEACH",
            "state": "MD",
            "postal_code": "212262033",
            "telephone_number": "301-648-6960",
            "fax_number": "410-455-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HILLTOP CIR",
            "address_2": "RAC 221",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212500001",
            "telephone_number": "410-455-1664",
            "fax_number": "410-455-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MEGHAN",
        "middle_name": "ELIZABETH",
        "credential": "MS, ATC, CES, PES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0000225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kammie Lynnette Sullivan, OTR/L
• Kathleen D Sullivan, LCPC
• Kelsey Sullivan
• Marlysa Sullivan, PT
• Maryam A Sullivan
• Michael David Sullivan, MD
• Miles Schaeffer Sullivan, MD
• Sarah A Sullivan, FNP
• Wendy S. Sullivan, P.A.
• William Michael Sullivan, DNP, FNP-C

• Athletic Trainer in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Athletic Trainer in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.