Annata Rae Sullivan, RN, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

110470 Issued in NE

Practice address

697 Louisiana Dr.
Dyess, Afb, TX 79607-4425

Phone

(325) 696-3543

NPI assigned

Mar 7, 2006

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215904438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 STONECREST DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063453",
            "telephone_number": "325-691-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 LOUISIANA DR.",
            "city": "DYESS, AFB",
            "state": "TX",
            "postal_code": "796074425",
            "telephone_number": "325-696-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ANNATA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "RN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Leigh Smith, PHARMD
• Nikole Sprunger, RDN, LD
• Jon Eric Standley, D.O
• Evelyn L Stender, M.D.
• Daniel Strait, PHARMD
• Mark Adam Summers, MD
• Jenica Swenson
• Alexandrea Swize, PT, DPT
• Julie A Thomas, FNP
• Rachel Hathorn Tijerina, PNP

• Family Nurse Practitioner in Dyess, Afb, TX
• Providers in Dyess, Afb, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.