Individual provider Active NPI

Sarah Joan Sullivan, RDN

  • Registered Dietitian
  • Tucson, AZ
National Provider Identifier
1275199242
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86089473 Issued in AZ
Practice address
395 N Silverbell Rd Ste 355
Tucson, AZ 85745-2981
Phone
(520) 319-5000
NPI assigned
May 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86089473 AZ Primary

Addresses

Primary practice location

395 N Silverbell Rd Ste 355
Tucson, AZ 85745-2981

Mailing address

3451 N Mountain Ave FRNT
Tucson, AZ 85719-1964
Phone (203) 731-1511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190906001078 AZ Practitioner - Registered Dietitian Or Nutrition Professional 5890024467 Reassigns benefits to 1 organization
I20210201001014 CO Practitioner - Registered Dietitian Or Nutrition Professional 5890024467 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86089473AZMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 31, 2022 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 31, 2022 Accepting new patients
Saint Joseph Hospital, Inc CurrentSince Feb 22, 2021 Accepting new patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Saint Joseph Hospital Inc CurrentSince Feb 22, 2021 Accepting new patients
Genesis OB GYN PLLC CurrentSince Apr 1, 2024 Accepting new patients
Saint Joseph Hospital, Inc Current Accepting new patients

Locations

1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573

2424 N Wyatt Dr
Fl 2
Tucson, AZ 85712
Phone (520) 545-0930

2424 N Wyatt Dr
Ste 260
Tucson, AZ 85712
Phone (520) 795-0549

6367 E Tanque Verde Rd
Ste 200
Tucson, AZ 85715
Phone (520) 290-5888

6261 N La Cholla Blvd
Ste 2
Tucson, AZ 85741

6261 N La Cholla Blvd
Ste 3
Tucson, AZ 85741

500 Eldorado Blvd
Ste 6300
Broomfield, CO 80021
Phone (303) 272-0803

1960 N Ogden St
Ste 550
Denver, CO 80218
Phone (303) 318-1585

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1275199242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 N MOUNTAIN AVE FRNT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191964",
            "telephone_number": "203-731-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N SILVERBELL RD STE 355",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452981",
            "telephone_number": "520-319-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SARAH",
        "middle_name": "JOAN",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "86089473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.