Shawna Sullivan, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

158953 Issued in OH

Practice address

7005 Hamilton Ave
#2
Cincinnati, OH 45231

Phone

(513) 728-0290

NPI assigned

Sep 7, 2017

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

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336667625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7005 HAMILTON AVE APT 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452315266",
            "telephone_number": "513-728-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7005 HAMILTON AVE",
            "address_2": "#2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45231",
            "telephone_number": "513-728-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SHAWNA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "158953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Rene Sullivan
• Leah Sullivan
• Lisa Marie Sullivan
• Lynn Thuy Sullivan, APRN
• Margaret M Sullivan, LSW
• Susan Claire Sullivan, P.T.
• Thomas Ryan Sullivan, DC
• Tonnie M Sullivan
• Hamza Sultan
• Tariq Sultan, MD

• Licensed Practical Nurse in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.