Erin Catherine Sullivan, AGPCNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN2310113 Issued in MA

Practice address

12 Ingalls CT
Methuen, MA 01844-3712

Phone

(978) 686-2807

NPI assigned

Dec 16, 2019

Last updated

Oct 2, 2023By 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

Medicare fee-for-service enrollment

Enrolled in MA

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 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erin.sullivan.1@23857.direct.athenahealth.com
• Direct secure messaging: erin.sullivan.p1@direct.elementcare.nextgenshare.com

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.

• Greater Lawrence Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lawrence, MA
  • NPI 1699774646
  Medicare reassignment NPD
• Greater Lawrence Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Haverhill, MA
  • NPI 1003437344
  NPD
• Greater Lawrence Family Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Lawrence, MA
  • NPI 1679786784
  NPD

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1265070783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CTR STE 166",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156135",
            "telephone_number": "978-712-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 INGALLS CT",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018443712",
            "telephone_number": "978-686-2807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Haverhill St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018412884",
            "country_code": "US",
            "telephone_number": "978-686-0090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ERIN",
        "middle_name": "CATHERINE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2310113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "RN2310113",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steward Holy Family Hospital, Inc.
• Steward Holy Family Hospital, Inc.
• Steward Holy Family Hospital, Inc. (Steward Home Medical Equipment - Holy Family Hospital)
• Karolyne Stimpson, NP
• Jessica Ann Stowell
• John F Sullivan, RPH
• Vincent Sullo
• Summit Physical Therapy & Rehabilitation Services, Inc.
• Zhi Sun
• Sunbridge Healthcare Corporation (SunBridge Care & Rehab - Broadway)

• Adult Health Nurse Practitioner in Methuen, MA
• Providers in Methuen, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.