Spirit Sullivan, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

6401 S Richards Ave
Santa Fe, NM 87508-4887

Phone

(505) 984-5048

NPI assigned

Jul 22, 2021

Last updated

Jul 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1427621879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5395",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875025395",
            "telephone_number": "505-982-4425",
            "fax_number": "505-982-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 S RICHARDS AVE",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875084887",
            "telephone_number": "505-984-5048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Alto St",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875012406",
            "country_code": "US",
            "telephone_number": "505-982-4425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SPIRIT",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Marie Sullivan, LISW
• Matthew Sullivan
• Noreen M Sullivan, D.C.
• P. Alexander Sullivan, L.M.T. 2569
• Sally Sullivan, LMHC
• Betsy G Sultan, ROLF PRACTITIONER
• Farah Sultan
• Paula A Summar, LMHC
• Summit Spine and Sports Medicine, LLC
• Carole Sumner

• Dental Hygienist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Dental Hygienist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.