Kathleen Sullivan

Primary specialty

Community Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0812X

License

APRN-1154 Issued in HI

Practice address

2040 9TH Ave
# C
Honolulu, HI 96816-2952

Phone

(808) 754-4176

NPI assigned

Feb 9, 2016

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1265890909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 9TH AVE",
            "address_2": "# C",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162952",
            "telephone_number": "808-754-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 9TH AVE",
            "address_2": "# C",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162952",
            "telephone_number": "808-754-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0812X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": "HI",
            "license": "APRN-1154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suh & Suh MD Inc
• Joomi Suh
• Philip Jung Suh, M.D.
• Ricky T Sukita, DPM
• Barry Sukoneck, ED.D.
• Melanie Liliaonaawaawa NG Sullivan, LMT
• Rachel M. Sullivan, MD
• Sultan Early Intervention Program
• Aya Sultan, MD, PHD
• Dane Logan Sultzer, O.D.

• Clinical Nurse Specialist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinical Nurse Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.