Izabella Sullivan, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3009304 Issued in KY

Practice address

12610 Townepark Way
Louisville, KY 40243-2068

Phone

(800) 805-9689

NPI assigned

Oct 7, 2015

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 KY

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Starting Point of Kentucky, PSCGroup PAC ID 6709212772, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Starting Point of Kentucky, PSC

  • Multi-Specialty Clinic/Center
  • Florence, KY
  • NPI 1336801489
  Medicare reassignment Care Compare group NPD
• Crossroads Treatment Center of Ashland, PSC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ashland, KY
  • NPI 1346745718
  NPD
• Crossroads Treatment Center of Louisville, PSC

  • Methadone Clinic
  • Jeffersontown, KY
  • NPI 1649797507
  NPD
• Crossroads Treatment Center of Northern Kentucky, PSC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Independence, KY
  • NPI 1174040034
  NPD
• Crossroads Treatment Center of Somerset, PSC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Somerset, KY
  • NPI 1417452798
  NPD
• Starting Point of Kentucky, PSC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1700379773
  NPD
• Starting Point of Kentucky, PSC

  • Multi-Specialty Clinic/Center
  • Louisville, KY
  • NPI 1811661358
  NPD

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1356711063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12610 TOWNEPARK WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432068",
            "telephone_number": "800-805-9689",
            "fax_number": "502-429-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 TOWNEPARK WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432068",
            "telephone_number": "800-805-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "IZABELLA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sullivan University System Inc
• Amanda Michelle Sullivan, ARNP
• Aubrey Ross Obradovich Sullivan, M. ED
• David Lee Sullivan Jr.
• Elizabeth Sullivan, MA
• Janice Elaine Sullivan, MD
• Jessica Sullivan
• Joeli Rae Sullivan
• John F. Sullivan, MD
• John Paul Sullivan, M.D.

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; 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.
• 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.