Individual provider Active NPI

Anne Marie Sullivan, FNP-C

  • Family Nurse Practitioner
  • Rockwall, TX
National Provider Identifier
1205422953
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1022618 Issued in TX
Practice address
5713 Horizon Rd
Rockwall, TX 75032-7733
Phone
(214) 774-2636
NPI assigned
Dec 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1022618 TX Primary

Addresses

Primary practice location

5713 Horizon Rd
Rockwall, TX 75032-7733

Mailing address

5713 Horizon Rd
Rockwall, TX 75032-7733
Phone (214) 774-2636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1022618TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rockwall Physical Medicine PLLC CurrentSince Sep 20, 2022 Accepting new patients
Dr. Payne Chiropractic PLLC CurrentSince Sep 20, 2022 Accepting new patients

Locations

1141 Ridge Rd
Ste A
Rockwall, TX 75087
Phone (972) 771-9844

Interoperability endpoints

  • Direct secure messaging: anne.sullivan.1@20728.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1205422953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 HORIZON RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327733",
            "telephone_number": "214-774-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5713 HORIZON RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327733",
            "telephone_number": "214-774-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1022618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.