Active NPI
Laura D Sullivan, CRNA
- Certified Registered Nurse Anesthetist
- Fall River, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 256715
- Practice address
- 363 Highland Ave
Fall River, MA 02720-3703 - Phone
- (508) 679-3131
- NPI assigned
- Aug 2, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 256715 | MA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 001968 | CT |
Addresses
Primary practice location
363 Highland Ave
Fall River, MA 02720-3703
Mailing address
53 Tallawanda Rd
Ste. 670
Swansea, MA 02777-1206
Phone (508) 567-1969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
440 Swansea Mall Dr
Swansea, MA 02777-4114
Phone (352) 275-2064
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001968 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Partners of New England, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| North American Partners in Anesthesia Massachusetts LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southcoast Physicians Group, Inc. | Current | Accepting new patients | |
| Narragansett Bay Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of New London, PC | Past | Accepting new patients |
Locations
795 Middle St
Fall River, MA 02721
Phone (508) 235-5046
363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052
534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
300D Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 998-6683
440 Swansea Mall Dr
Swansea, MA 02777
Phone (508) 324-1171
75 Newman Ave
Ste 100
Rumford, RI 02916
Interoperability endpoints
- lsullivan20530@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Ri, RI
- NPI 1326672312
MA, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fall River, MA
- NPI 1457867020
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
-
- Anesthesiology Physician
- Warwick, RI
- NPI 1861445728
MA, Nurse Anesthetist, Certified Registered
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1902201536
-
- Anesthesiology Physician
- New London, CT
- NPI 1205881117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1265433122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 TALLAWANDA RD",
"address_2": "STE. 670",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027771206",
"telephone_number": "508-567-1969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 HIGHLAND AVE",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027203703",
"telephone_number": "508-679-3131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "LAURA",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "256715",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "001968",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.