Individual provider Active NPI

Ashley Anne Sullivan, NP

  • Nurse Practitioner
  • Stanford, CA
National Provider Identifier
1265186068
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95019798 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 723-4000
NPI assigned
Feb 10, 2022
Last updated
Nov 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95019798 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20230714002777 CA Practitioner - Nurse Practitioner 9830559392 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
87.08
Promoting interoperability
100
Improvement activities
40
Cost
69.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Transtreme, LLC Family CurrentSince Jun 5, 2023 Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Sep 1, 2023 Accepting new patients
Stanford Health Care CurrentSince Sep 1, 2023 Accepting new patients
Stanford Health Care CurrentSince Sep 1, 2023 Accepting new patients
Transtreme Nursing Services, Inc PastSince Aug 17, 2025 Accepting new patients

Locations

5562 Philadelphia St
Ste 301
Chino, CA 91710
Phone (713) 589-5283

2001 Junipero Serra Blvd
Ste 100
Daly City, CA 94014
Phone (650) 550-3600

1100 E Park St
Hollister, CA 95023
Phone (831) 665-6115

1315 10th St
Ste 300
Modesto, CA 95354
Phone (209) 238-4087

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

6265 Commerce Blvd
Ste 156
Rohnert Park, CA 94928
Phone (707) 303-2040

1700 California St
Ste 260
San Francisco, CA 94109
Phone (415) 653-5800

888 S Bascom Ave
San Jose, CA 95128
Phone (408) 855-6900

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

1801 E March Ln
Ste A100
Stockton, CA 95210
Phone (209) 473-6890

Interoperability endpoints

  • Direct secure messaging: asullivan436445@direct.stanfordhealthcare.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1265186068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ASHLEY",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95019798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.