Jamie L Sullivan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104557663 Issued in VA

Practice address

4657 Shallowford Cir
Virginia Beach, VA 23462-7916

Phone

(615) 476-0139

NPI assigned

Aug 6, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Applied Health Chiropractic

  • Chiropractor
  • Virginia Beach, VA
  • NPI 1699067678
  NPD

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1386254084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4657 SHALLOWFORD CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627916",
            "telephone_number": "615-476-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4657 SHALLOWFORD CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627916",
            "telephone_number": "615-476-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JAMIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104557663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Sullivan, FDN-P
• Amber Lynn Sullivan, COTA/L
• Clare Sullivan
• Deborah Sullivan, PT
• Elizabeth Sullivan, RBT
• Karen Ann Sullivan, MD
• Robert W Sullivan, DPM
• Tatiana Sullivan, MEDICAL INTERPRETER
• William A Sullivan, DPT
• Sully'S Run Equine Services, LLC

• Chiropractor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.