Heather M Sullivan, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN310436L Issued in PA

Practice address

2010 Old West Chester Pike
Suite 330
Havertown, PA 19083-2712

Phone

(610) 789-8070

Fax

(610) 789-9937

NPI assigned

Oct 10, 2005

Last updated

Nov 10, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Einstein Montgomery Hospital Hospital, East Norriton, PA, CCN 390329

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Einstein Practice Plan Inc

  dba Einstein Psychiatry Assoc

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1760434468
  Medicare reassignment Care Compare group NPD
• Northstar Anesthesia of Pennsylvania, LLC

  • Anesthesiology Physician
  • Darby, PA
  • NPI 1700218989

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Pennsylvania Anesthesia Coalition LLC

  • Anesthesiology Physician
  • Sinking Spring, PA
  • NPI 1861091290

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Einstein Practice Plan Inc

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
  • NPI 1457047433

  Nurse Anesthetist, Certified Registered

  NPD
• Einstein Practice Plan Inc

  dba Einstein Anesthesia Associates

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1740232321
  NPD
• Main Line Gastroenterology Associates, PC

  • Gastroenterology Physician
  • Malvern, PA
  • NPI 1467429365
  NPD (past)
• Premier Anesthesia of Pennsylvania PC

  • Anesthesiology Physician
  • Drexel Hill, PA
  • NPI 1831493865

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Einstein Medical Center Montgomery

  • General Acute Care Hospital
  • East Norriton, PA
  • NPI 1104192590
  Care Compare affiliation

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1326036864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 OLD WEST CHESTER PIKE SUITE 330",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832712",
            "telephone_number": "717-263-5562",
            "fax_number": "717-263-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 OLD WEST CHESTER PIKE",
            "address_2": "SUITE 330",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832712",
            "telephone_number": "610-789-8070",
            "fax_number": "610-789-9937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "559 W Germantown Pike",
            "address_purpose": "LOCATION",
            "city": "East Norriton",
            "state": "PA",
            "postal_code": "194034250",
            "country_code": "US",
            "telephone_number": "484-622-1248",
            "fax_number": "484-622-1269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "HEATHER",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN310436L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin M Stott-McNulty, M.P.T.
• Grant Nelson Strine, PSY.D.
• Diana Lyn Stroffolino, MPT
• Suburban Gastroenterology Associates Inc
• Suburban Oral Surgery, PC
• Kenisha Sullivan, LPC
• Sunrise Human Care Services Inc
• Sunshine Therapy Club II
• Sunshine Therapy Club II, Inc.
• Sunshine Therapy Club Inc

• Certified Registered Nurse Anesthetist in Havertown, PA
• Providers in Havertown, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.