NPIMap

Organization Active NPI

Iris Sullivan MD PC

  • Family Nurse Practitioner
  • Fitchburg, MA
National Provider Identifier
1306137518
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN281239 Issued in MA
Legal business name
IRIS SULLIVAN MD PC
Practice address
46 Whalon Street
Fitchburg, MA 01420
Phone
(978) 342-4500
Fax
(978) 342-4600
NPI assigned
Apr 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Iris Sullivan, M.D.
Title
Physician
Phone
(978) 342-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X RN281239 MA Primary

Addresses

Primary practice location

46 Whalon Street
Fitchburg, MA 01420

Mailing address

46 Whalon
Fitchburg, MA 01420
Phone (978) 342-4500

National Provider Directory

National Provider Directory

Locations

46 Whalon St
Fitchburg, MA 01420
Phone (978) 342-4500

46 Whalon
Fitchburg, MA 01420

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1306137518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 WHALON",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "01420",
            "telephone_number": "978-342-4500",
            "fax_number": "978-342-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 WHALON STREET",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "01420",
            "telephone_number": "978-342-4500",
            "fax_number": "978-342-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS SULLIVAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "978-342-4500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN281239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.