Kendra Sullivan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

247903 Issued in WI

Practice address

W3978 Greenbush Rd
Monroe, WI 53566-8517

Phone

(608) 558-1610

NPI assigned

Nov 28, 2022

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 names 1

• Kendra Dupler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1275243792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3978 GREENBUSH RD",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535668517",
            "telephone_number": "608-558-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W3978 GREENBUSH RD",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535668517",
            "telephone_number": "608-558-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KENDRA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "247903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "DUPLER",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Storck, PHARMD
• Annette Z Stormont, MD
• Sara L Strom, AAC
• Eric Strother, LCSW
• Charles M Stuart, MD
• Julia Ann Swanson, RN
• Jonathan D. Swindle, D.O.
• Kendall Syse, DPT
• Peter Szachnowski, MD
• Linnea Tabaka

• Registered Nurse in Monroe, WI
• Providers in Monroe, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.