Anna Nicole Powell Sullivan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-11205 Issued in NC

Practice address

310 Comal St Ste 200
Austin, TX 78702-4599

Phone

(737) 270-9500

Fax

(833) 906-2436

NPI assigned

Apr 23, 2021

Last updated

Jul 23, 2024By 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

• Anna Nicole Powell Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: anna.sullivan.1@23905.direct.athenahealth.com

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.

• Health Zone PLLC

  • Family Medicine Physician
  • Smithfield, NC
  • NPI 1629007398
  Medicare reassignment

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1467034090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 LEACROFT WAY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036703",
            "telephone_number": "919-656-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 COMAL ST STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787024599",
            "telephone_number": "737-270-9500",
            "fax_number": "833-906-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ANNA",
        "middle_name": "NICOLE POWELL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "POWELL",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aditi Jagdish Sule, MD
• Vivian Sule
• Mahmoud Suleiman
• Sullivan Physical Therapy LLC
• Alyssa Sullivan, LCSW
• Arthur Lee Sullivan, FNP
• Brian L Sullivan, M.D.
• Carolyn Linnette Sullivan, LPC LCDC LICENSED CO
• Catherine Elizabeth Sullivan, LPC
• Gabrielle Sullivan

• Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.