Lindsay Nicole Sullivan, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

111318 Issued in IA

Practice address

254 Norman Dr NE
Cedar Rapids, IA 52402-1423

Phone

(319) 360-9536

NPI assigned

Dec 7, 2021

Last updated

Dec 7, 2021By the provider in NPPES

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

Other names 1

• Mrs. Lindsay Nicole Person Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Liberty Home Care PLLC

  dba Liberty Home Care

  • Home Health Agency
  • Marion, IA
  • NPI 1659021921
  NPD Authorized official

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1255099230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 NORMAN DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524021423",
            "telephone_number": "319-360-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 NORMAN DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524021423",
            "telephone_number": "319-360-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "LINDSAY",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IA",
            "license": "111318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "PERSON",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Heald Sublett, PT
• Ashwin Vinayak Subramani, MD
• Babette Suchy, RN,BSN
• Stacie Lee Sugioka, RN
• Katie Sullenbrand, CNM
• Michael Sullivan, DPM
• Suncrest Hospice Cedar Rapids, LLC (Suncrest Hospice)
• Lisa Sunde
• Laura Sundell, LISW
• Paul J Sundell, PHD

• Home Health Registered Nurse in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Home Health Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.