Kasey Panhuise Sullivan, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61598856 Issued in WA

Practice address

950 Pacific Ave Ste 1025
Tacoma, WA 98402-4469

Phone

(253) 533-7264

NPI assigned

Aug 28, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 13, 2025 through Jan 13, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1255165742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 PACIFIC AVE STE 1025",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024469",
            "telephone_number": "253-533-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 PACIFIC AVE STE 1025",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024469",
            "telephone_number": "253-533-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANHUISE SULLIVAN",
        "first_name": "KASEY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61598856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Pampo, RN
• Stephanie Rae Panagiotu, CNM, ARNP
• Mayleen Juriz Panaligan, PHARM.D.
• Zachary Evan Panfili, M.D.
• Nancy CK Pang, MD
• Keri Peredo Panlasigui
• Pamela Jean Panther-Walters, SSMH CERTIFICATE
• Suman Panwar, DO
• Timothy Shawn Panzer, M.D.
• Sorya Pao, MSW, LSWAIC

• Psychiatric/Mental Health Nurse Practitioner in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.