Active NPI
Elizabeth Ann Sullivan-Jawitz, A.R.N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Fort Lauderdale, FL
National Provider Identifier
1396918082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- ARNP3017212
- Practice address
- 915 Middle River Dr Ste 114
Ft Lauderdale, FL 33304-3586 - Phone
- (954) 368-0888
- Fax
- (954) 212-2227
- NPI assigned
- Apr 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP3017212 | FL | Primary |
Addresses
Primary practice location
915 Middle River Dr Ste 114
Ft Lauderdale, FL 33304-3586
Mailing address
10979 Mainsail Dr.
Hollywood, FL 33026-4720
Phone (954) 447-7020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3017212 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E Sullivan Arnp PA | Psychiatric/Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Hollywood, FL
- NPI 1275839953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469923200000",
"number": "1396918082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10979 MAINSAIL DR.",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330264720",
"telephone_number": "954-447-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 MIDDLE RIVER DR STE 114",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333043586",
"telephone_number": "954-368-0888",
"fax_number": "954-212-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN-JAWITZ",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "A.R.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2016-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP3017212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.