Olivia Grace Sullivan, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1514 Issued in SC

Practice address

1000 Gattis School Rd Ste 150
Round Rock, TX 78664

Phone

(512) 609-0651

NPI assigned

Jun 12, 2019

Last updated

Jun 15, 2022By 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 1

Addresses

Other names 1

• Olivia Grace Jolly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Natalie Grun, RDN, LLC

  dba Empathy Nutrition Therapy

  • Registered Dietitian
  • Round Rock, TX
  • NPI 1528735370

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1457910580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GATTIS SCHOOL RD STE 150",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642566",
            "telephone_number": "512-609-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GATTIS SCHOOL RD STE 150",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78664",
            "telephone_number": "512-609-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "OLIVIA",
        "middle_name": "GRACE",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "1514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "JOLLY",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Lynn Sugamele, LPC
• Emily Sullivan
• Erin C Sullivan, D.P.T
• Kim Sullivan, MA, LPC, RPT, NCC
• Lauren Nicole Sullivan, LPC
• Lisa Lanell Sumlin, CNS
• Courtney Summerville
• Summit Wellness - Central Texas LLC
• Summit Wellness - Central Texas LLC
• Michelle Sumners, LCDC

• Registered Dietitian in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.