Individual provider Active NPI

Kara Neal Sullivan, NP

  • Family Nurse Practitioner
  • Zachary, LA
National Provider Identifier
1407644545
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
240025 Issued in LA
Practice address
6110 Main St
Zachary, LA 70791-4033
Phone
(225) 658-4070
NPI assigned
Apr 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 240025 LA Primary

Addresses

Primary practice location

6110 Main St
Zachary, LA 70791-4033

Mailing address

14048 Heritage Oaks Dr
Baton Rouge, LA 70818-1411
Phone (225) 718-0759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20250719000127 LA Practitioner - Nurse Practitioner 4486160231 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240025LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District 1 of East Baton Rouge Parish CurrentSince Jun 2, 2025 Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish CurrentSince Jun 2, 2025 Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish Current Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish Past Accepting new patients

Locations

6110 Main St
Ste B
Zachary, LA 70791
Phone (225) 654-1559

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

19900 Old Scenic Hwy
Ste E
Zachary, LA 70791
Phone (225) 570-2618

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1407644545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14048 HERITAGE OAKS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708181411",
            "telephone_number": "225-718-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 MAIN ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914033",
            "telephone_number": "225-658-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KARA",
        "middle_name": "NEAL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "240025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.