Active NPI
June Marie Sullivan, PA
- Medical Physician Assistant
- Washington, DC
National Provider Identifier
1386669687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA200002120
- Practice address
- 2401 E St NW
Washington, DC 20521-0001 - Phone
- (202) 663-1779
- Fax
- (202) 663-1939
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA200002120 | DC | Primary |
Addresses
Primary practice location
2401 E St NW
Washington, DC 20521-0001
Mailing address
2401 E St NW
Washington, DC 20521-0001
Phone (202) 663-1779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3655 | SC | MD | Speech-Language Pathologist |
| PA200002120 | DC | MD | Medical Physician Assistant |
Interoperability endpoints
- june.sullivan@148186305331204.direct.elationemr.com
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Goose Creek, SC
- NPI 1093248288
-
dba Premier Medical
- Family Medicine Physician
- North Charleston, SC
- NPI 1992276091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1386669687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 E ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205210001",
"telephone_number": "202-663-1779",
"fax_number": "202-663-1939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 E ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205210001",
"telephone_number": "202-663-1779",
"fax_number": "202-663-1939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "JUNE",
"middle_name": "MARIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "DC",
"license": "PA200002120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.