Mary Ann Sullivan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2857 Issued in SC

Practice address

300 Woodhaven Dr
Seabrook
Hilton Head Island, SC 29928-7511

Phone

(843) 842-3747

Fax

(843) 842-3739

NPI assigned

Sep 8, 2010

Last updated

Sep 8, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1316254600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BELVEDERE LN",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299096100",
            "telephone_number": "843-705-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WOODHAVEN DR",
            "address_2": "SEABROOK",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299287511",
            "telephone_number": "843-842-3747",
            "fax_number": "843-842-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "2857",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "001866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Edward Stough, DMD
• Steven Michael Strocko, PA-C
• Amy Christine Stubbs
• Sarah Stuchell, MFT
• Monica Stuchlik, LPC
• Steven Daryl Suminski, BC-HIS
• Sunspire Health Hilton Head LLC (BriteLife Recovery at Hilton Head)
• Sunsplash Therapy PC
• Kim Sutter, P.T.
• Carl J Swearingen, PHYSICAL THERAPIST

• Speech-Language Pathologist in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.