Patricia Sullivan, RN, MS, FNP-C, ACRN

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

License

193826 Issued in MA

Practice address

30 Northampton St
Boston, MA 02118-4010

Phone

(617) 433-9601

Fax

(617) 445-6538

NPI assigned

Jun 5, 2007

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 MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Covid Safe at Home, Inc.

  • Primary Care Clinic/Center
  • Cambridge, MA
  • NPI 1548995103
  NPD

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346442886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 CENTRE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591543",
            "telephone_number": "888-897-8947",
            "fax_number": "617-772-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NORTHAMPTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184010",
            "telephone_number": "617-433-9601",
            "fax_number": "617-445-6538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "253 Summer St",
            "address_2": "5th Flr - CMA",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "022101114",
            "country_code": "US",
            "telephone_number": "888-897-8947",
            "fax_number": "617-772-5519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "PATRICIA",
        "credential": "RN, MS, FNP-C, ACRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "MA",
            "license": "193826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Geoffrey Sullivan, DPT
• Morgan Sullivan
• Nancy Rose Sullivan, PH.D.
• Neal Patrick Sullivan
• Pamela Sullivan
• Paul Sullivan
• Penelope N Sullivan, PT
• Roberta M. Sullivan I
• Ryan P Sullivan, MD
• Sara Hamilton Sullivan, M.D.

• Community Health Nurse Practitioner in Boston, MA
• Providers in Boston, MA by specialty
• Community Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.