Colleen P Sullivan, MSN CS C AP MHCNS AP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

097147 Issued in MO

Practice address

10918 Elm Avenue
Crittenton Childrens Center
Kansas City, MO 64134

Phone

(816) 765-6600

Fax

(816) 767-4159

NPI assigned

May 3, 2006

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

Other names 1

• Colleen Patricia Sullivan-Russo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science - Nursing

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: csullivan7706@direct.saint-lukes.org
• FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

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.

• St Lukes Hospital of Kansas City

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1932642972
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316905938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 NW ROCKHILL LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "64081",
            "telephone_number": "816-525-9787",
            "fax_number": "816-525-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10918 ELM AVENUE",
            "address_2": "CRITTENTON CHILDRENS CENTER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64134",
            "telephone_number": "816-765-6600",
            "fax_number": "816-767-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "COLLEEN",
        "middle_name": "P",
        "credential": "MSN CS C AP MHCNS AP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "1405842052",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "097147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "SULLIVAN-RUSSO",
            "middle_name": "PATRICIA",
            "credential": "CS CA P MHCNS CS A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bonnie Rae Sullivan, M.D.
• Bradley Huse Sullivan, MD
• Chad Sullivan
• Chad Sullivan, MD
• Christine Sullivan, MD
• Kevin Sullivan, RN
• Nancy Marie Sullivan, OTR
• Rachel Maupin Sullivan, D.O.
• Tonalisha Monique Sullivan
• Shayla Ann Sullivant, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.