Michael M O'Sullivan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0260021218 Issued in VT

Practice address

10 Lincoln St
Springfield, VT 05156-2510

Phone

(802) 885-7280

Fax

(802) 885-2593

NPI assigned

Mar 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Health Care and Rehabilitation Services of Southeastern Vermont, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Springfield, VT
  • NPI 1356273742
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235257122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL CT",
            "address_2": "STE 410",
            "city": "BELLOWS FALLS",
            "state": "VT",
            "postal_code": "051011489",
            "telephone_number": "802-463-3294",
            "fax_number": "802-463-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 LINCOLN ST",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562510",
            "telephone_number": "802-885-7280",
            "fax_number": "802-885-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "0260021218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "39945",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josie Munroe, LMFT
• Muralikrishna Narra
• Shirley Nova E. Ngaleo
• North Star Counseling Services, Inc.
• Heidi O'Brien, MSW LICSW
• Liam Patrick Ogrady, PA-C
• Stacie Lynn Otis, PTA
• Roger A Owen, MD
• Caroline Siraj Paletta, MA LCMHC RDT
• Victoria Jean Palma, O.T.R.

• Registered Nurse in Springfield, VT
• Providers in Springfield, VT by specialty
• Registered Nurse in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.