Kara E Sullivan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2017009103 Issued in MO

Practice address

800 N Cheyenne Rd
Nixa, MO 65714-6581

Phone

(417) 689-2962

Fax

(417) 689-2962

NPI assigned

Aug 16, 2017

Sex

Female

Sole proprietor

Yes

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": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1386160968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 E REPUBLIC RD APT 204",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046557",
            "telephone_number": "417-689-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N CHEYENNE RD",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657146581",
            "telephone_number": "417-689-2962",
            "fax_number": "417-689-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KARA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2017009103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Stidham, MA, PLPC
• Caitlin Elizabeth Stinnett
• Nancy Marie Stover
• Karen Stutzman, O.T.
• Jenn Sullivan-Cox
• Superior Physical Therapy, PLLC
• Elicia Sutton, FNP
• Scott Swafford, P.T.A.
• Meghan Talarico, MS. LBA, BCBA
• Rebecca Taratuta

• Speech-Language Pathologist in Nixa, MO
• Providers in Nixa, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.