Individual provider Active NPI

Sarah Elizabeth Sullivan, APRN

  • Nurse Practitioner
  • Fairhaven, MA
National Provider Identifier
1265044903
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN02428 Issued in RI
Practice address
208 Mill Rd
Fairhaven, MA 02719-5208
Phone
(508) 973-2432
Fax
(508) 973-2435
NPI assigned
Aug 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2294822 MA
Family Nurse Practitioner 363LF0000X APRN02428 RI
Nurse Practitioner 363L00000X APRN02428 RI Primary

Addresses

Primary practice location

208 Mill Rd
Fairhaven, MA 02719-5208

Mailing address

200 Mill Rd Ste 180
Fairhaven, MA 02719-5255
Phone (508) 973-2000

Other practice location 1

2 Wake Robin Rd Ste 106
Lincoln, RI 02865-4241
Phone (401) 333-9595

Other practice location 2

593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-3985

Other names 1

  • Sarah E Correira Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210108001253 RI Practitioner - Nurse Practitioner 5799198842 Reassigns benefits to 3 organizations
I20230621000054 MA Practitioner - Nurse Practitioner 5799198842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcoast Physicians Group Inc 875 clinicians

Practice addresses (Care Compare)

208 Mill Rd
Fairhaven, MA 02719-5208
Phone (508) 758-3781

Hospital & facility affiliations

  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN02428RIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Smithfield Urgent Care,LLC CurrentSince Apr 18, 2025 Accepting new patients
Lincoln Urgent Care Center, Inc. CurrentSince Apr 18, 2025 Accepting new patients
Lifespan Physician Group, Inc. Nurse Practitioner CurrentSince Jan 15, 2021 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jan 15, 2021 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 19, 2023 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jun 19, 2023 Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

208 Mill Rd
Fairhaven, MA 02719
Phone (508) 758-3781

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

2 Wake Robin Rd
Ste 106
Lincoln, RI 02865
Phone (401) 333-9595

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

594 Great Rd
Ste 102A
North Smithfield, RI 02896
Phone (401) 768-3400

594 Great Rd
Ste 103
North Smithfield, RI 02896
Phone (401) 768-3700

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

593 Eddy St
Providence, RI 02903

Interoperability endpoints

  • Direct secure messaging: ssullivan69268@direct.southcoast.org

Organizations & group practices 6

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.

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": "1598054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1265044903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL RD STE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195255",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 MILL RD",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195208",
            "telephone_number": "508-973-2432",
            "fax_number": "508-973-2435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Wake Robin Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "RI",
            "postal_code": "028654241",
            "country_code": "US",
            "telephone_number": "401-333-9595",
            "fax_number": "401-334-1155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-444-3985",
            "fax_number": "401-444-3986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-22",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2294822",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN02428",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "APRN02428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "CORREIRA",
            "middle_name": "E",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairhaven, MA

Sources for this page

Verify at the official NPI Registry.