Kathleen E Sullivan

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

96 Dormitory Row West
University, MS 38677

Phone

(615) 948-3271

NPI assigned

Jun 7, 2022

Last updated

Feb 27, 2024By the provider in NPPES

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

Other identifiers 1

Other names 1

• Kathleen Erin Sullivan Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1255060174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 HIGHWAY 7 S",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386558139",
            "telephone_number": "615-948-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 DORMITORY ROW WEST",
            "city": "UNIVERSITY",
            "state": "MS",
            "postal_code": "38677",
            "telephone_number": "615-948-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINING STUDENT",
            "identifier": "10704472",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MSAT",
            "affiliation": "N",
            "address_1": "96 dormitory row west",
            "city": "university",
            "state": "MS",
            "country_code": "US",
            "postal_code": "38677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "SULLIVAN",
            "middle_name": "ERIN",
            "credential": "KATE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hillary Estelle Staten
• Stephanie H. Stevens, MS, CCC-SLP
• Adam Stewart, DPT
• Sydney Nicole Stewart
• Jasmine Suggs
• Rebecca E Taylor, PHARMD
• Tapanga Taylor
• Rebecca Ann Thompson, WHNP-BC, ANP-BC
• Ansley Thurmond
• Nicole Turner, MD, MPH

• Athletic Trainer in University, MS
• Providers in University, MS by specialty
• Athletic Trainer in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.