Individual provider Active NPI

Elizabeth A. Sullivan, N.P.

  • Family Nurse Practitioner
  • Culpeper, VA
National Provider Identifier
1376655837
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024171597 Issued in VA
Practice address
16268 Bennett Road
Uva Primary Care - Locust Grove
Culpeper, VA 22701
Phone
(540) 825-6263
Fax
(540) 825-4911
NPI assigned
Aug 31, 2006
Last updated
Mar 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024171597 VA Primary
Nurse Practitioner 363L00000X 002337 CT

Addresses

Primary practice location

16268 Bennett Road
Uva Primary Care - Locust Grove
Culpeper, VA 22701

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Other names 1

  • Elizabeth S. Syring Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20140723002413 VA Practitioner - Nurse Practitioner 5890698328 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
002337CTMDProfessional Counselor
0024171597VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince May 8, 2014 Accepting new patients
Affinity Palliative of Virginia LLC CurrentSince Nov 13, 2023 Accepting new patients
Affinity Care of Virginia LLC CurrentSince Nov 13, 2023 Accepting new patients
Cycare LLC Past Accepting new patients
Medoptions Behavioral Health Assoc, LLC Nurse Practitioner Past Accepting new patients
Antero Urgent Care LLC PastSince Aug 23, 2020 Accepting new patients
Cycare LLC PastSince Nov 20, 2011 Accepting new patients
Masonicare Primary Care Physicians PastSince Oct 1, 2001 Accepting new patients
Masonicare Behavioral Health, LLC PastSince Dec 17, 2007 Accepting new patients
Advanced Care Associates, LLC Nurse Practitioner Past Accepting new patients

Locations

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

16268 Bennett Rd
Culpeper, VA 22701
Phone (540) 825-6263

714 Thimble Shoals Blvd
Ste C
Newport News, VA 23606
Phone (757) 330-8050

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1376655837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16268 BENNETT ROAD",
            "address_2": "UVA PRIMARY CARE - LOCUST GROVE",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "22701",
            "telephone_number": "540-825-6263",
            "fax_number": "540-825-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171597",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "002337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SYRING",
            "middle_name": "S.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.