Edward T Sullivan

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

16059502330 Issued in MA

Practice address

3 Allied Drive Ste 303
Dedham, MA 02026-0202

Phone

(781) 267-2305

Fax

(888) 316-2179

NPI assigned

Feb 27, 2018

Last updated

Feb 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1437650231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ALLIED DR STE 303",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266148",
            "telephone_number": "781-267-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ALLIED DRIVE STE 303",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020260202",
            "telephone_number": "781-267-2305",
            "fax_number": "888-316-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "EDWARD",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MA",
            "license": "16059502330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Geyer Strader, PA-C
• Strattus
• Emily Elizabeth Strayhorn
• Alexander Rudolph Stuber
• Elizabeth Sturgeon, LICSW
• Jennifer Marie Sullivan, OT/L
• Jill Sullivan
• Juliet Helene Sullivan, OD
• Nicole Anne Sullivan, OTR/L
• Kortney Sumner, LCSW

• Home Health Aide in Dedham, MA
• Providers in Dedham, MA by specialty
• Home Health Aide in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.