James Allen Sullivan, OTD, OTRL

Primary specialty

SpecialistTaxonomy code 174400000X

License

1166 Issued in NE

Practice address

4405 Normal Blvd
Lincoln, NE 68506-5551

Phone

(402) 488-2355

NPI assigned

May 8, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336352137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5324 W CLEVELAND AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685242143",
            "telephone_number": "402-540-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 NORMAL BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065551",
            "telephone_number": "402-488-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "OTD, OTRL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NE",
            "license": "1166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lynn Sullivan, LADC PLMHP
• Emily Sullivan, DO
• Erica J.W. Sullivan, M.A. LIMHP CPC LADC
• Erin Sullivan, RDLMNT
• Gabrielle Elizabeth Sullivan, LICSW
• Josie Ann Sullivan
• Julie A Sullivan, M.S.W.
• Kenton R Sullivan, MD
• Lisa M Sullivan, M.D.
• Lydia Sullivan

• Specialist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Specialist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.