Individual provider Active NPI

Julienne Sullivan Sellers, CRNP

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1447739974
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-129379 Issued in AL
Practice address
100 Rice Mine Rd N Ste 100
Tuscaloosa, AL 35406-3905
Phone
(205) 349-4200
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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 1-129379 AL Primary

Addresses

Primary practice location

100 Rice Mine Rd N Ste 100
Tuscaloosa, AL 35406-3905

Mailing address

100 Rice Mine Rd N Ste B
Tuscaloosa, AL 35406-2375
Phone (205) 349-4200

Other names 1

  • Ms. Julienne Edith Marie Sullivan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20181206002748 AL Practitioner - Nurse Practitioner 5799029484 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Tuscaloosa, PC CurrentSince Aug 28, 2018 Accepting new patients
Internal Medicine Associates of Tuscaloosa, P.C. CurrentSince Mar 27, 2022 Accepting new patients

Locations

100 Rice Mine Rd N
Ste 100
Tuscaloosa, AL 35406
Phone (205) 349-4200

100 Rice Mine Rd N
Ste B
Tuscaloosa, AL 35406
Phone (205) 349-4200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1447739974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RICE MINE RD N STE B",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062375",
            "telephone_number": "205-349-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RICE MINE RD N STE 100",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354063905",
            "telephone_number": "205-349-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "JULIENNE",
        "middle_name": "SULLIVAN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-129379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIENNE",
            "last_name": "SULLIVAN",
            "middle_name": "EDITH MARIE",
            "prefix": "MS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.