Sullivan Health Services LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SULLIVAN HEALTH SERVICES LLC

Practice address

12151 E Palmer Wasilla Hwy
Palmer, AK 99645-8880

Phone

(907) 746-4263

NPI assigned

May 3, 2022

Organization subpart

No

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

Authorized official

Name

Joseph Michael Sullivan, DCNPI 1336682418

Title

Owner

Phone

(720) 308-2307

Specialties & licenses 3

Addresses

Other names 1

• Haven Chiropractic & Sports Medicine Doing business as

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Sullivan, D.C.

  • Chiropractor
  • Palmer, AK
  • NPI 1336682418
  NPD Authorized official
• Lonnie Urban, LMT

  • Massage Therapist
  • Wasilla, AK
  • NPI 1154974806
  NPD (past)

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1336884337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1133",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996451133",
            "telephone_number": "907-746-4263",
            "fax_number": "907-917-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12151 E PALMER WASILLA HWY",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458880",
            "telephone_number": "907-746-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2023-09-06",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-308-2307",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Havenchirosportsmed.com",
            "affiliation": "N",
            "address_1": "12151 E Palmer Wasilla Hwy Unit B",
            "city": "Palmer",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996458880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Haven Chiropractic & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Gay Stone, LCSW
• Jason Edward Merle Stotler
• Jocelyne Felice Stout
• Tasha Straughn
• Lorna-Lei Sua'Ava
• Joseph Sullivan, D.C.
• Summit Family Practice,LLC
• Summit Psychiatry Associates
• Summit Psychiatry Associates
• Susitna Surgery Center LLC

• Chiropractor in Palmer, AK
• Providers in Palmer, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.