Individual provider Active NPI

Terri A. Sullivan, N.P.

  • Occupational Health Nurse Practitioner
  • Taunton, MA
National Provider Identifier
1225052160
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
175270 Issued in MA
Practice address
2005 Bay St
Taunton, MA 02780-1085
Phone
(508) 824-0243
Fax
(508) 828-1810
NPI assigned
Jul 26, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 175270 MA
Occupational Health Nurse Practitioner 363LX0106X 175270 MA Primary

Addresses

Primary practice location

2005 Bay St
Taunton, MA 02780-1085

Mailing address

5 Rose LN
Berkley, MA 02779-1014
Phone (508) 884-8940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060808000047 MA Practitioner - Nurse Practitioner 8426051707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tristan Medical PCGroup PAC ID 9739141037, 5 clinicians

Practice addresses (Care Compare)

184 W Main St
Unit 103
Norton, MA 02766-1243
Phone (508) 824-0243

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tristan Medical PC CurrentSince Sep 26, 2014 Accepting new patients
Urgent Care Medical Associates of Massachusetts, LLC Current Accepting new patients
Tristan Medical, PC PastSince Mar 20, 2025 Accepting new patients

Locations

1340 Belmont St
Brockton, MA 02301
Phone (508) 559-5108

675 Paramount Dr
Ste 203
Raynham, MA 02767
Phone (508) 738-6740

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3082/brand/1/csg/22/fhir/r4
  • Direct secure messaging: terri.sullivan.1@3082.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1225052160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ROSE LN",
            "city": "BERKLEY",
            "state": "MA",
            "postal_code": "027791014",
            "telephone_number": "508-884-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 BAY ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027801085",
            "telephone_number": "508-824-0243",
            "fax_number": "508-828-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "TERRI",
        "middle_name": "A.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "175270",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "MA",
            "license": "175270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.