Laura Michele Sullivan, M.S.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5010250 Issued in NC

Practice address

11 Vanderbilt Park Dr
Asheville, NC 28803-1700

Phone

(828) 213-1740

Fax

(828) 213-1742

NPI assigned

Apr 2, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lsullivan4687640@adventhealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fletcher Hospital Inc.

  • Rural Acute Care Hospital
  • Hendersonville, NC
  • NPI 1427075027

  Multi-Specialty

  Medicare reassignment NPD
• Fletcher Hospital Inc

  • Rural Health Clinic/Center
  • Saluda, NC
  • NPI 1376371880

  Multi-Specialty

  NPD
• Fletcher Hospital Inc.

  • Family Medicine Physician
  • Hendersonville, NC
  • NPI 1477995124

  Multi-Specialty

  NPD
• Mission Hospitals Inc

  • Psychiatric Hospital Unit
  • Asheville, NC
  • NPI 1962452482

  Multi-Specialty

  NPD
• Shawnee Mission Medical Center Inc

  • Family Medicine Physician
  • Merriam, KS
  • NPI 1992735690

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1467847871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 STATE ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063341",
            "telephone_number": "828-213-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 VANDERBILT PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031700",
            "telephone_number": "828-213-1740",
            "fax_number": "828-213-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "LAURA",
        "middle_name": "MICHELE",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "CO",
            "license": "99797",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NC",
            "license": "5010250",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467847871",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Allien Vivian Sullivan, LCSW
• Diane Welter Sullivan, OTR
• Jacqueline Marie Sullivan, MSW, LCSW
• James F. Sullivan, OTRL
• John Paul Sullivan Jr., PA
• Lisa Sullivan, LPC
• Mark Sullivan, PTA
• Patrick John Sullivan, M.A.
• Rosana Sullivan, MSW
• Susan Lee Sullivan, OTR

• Nurse Practitioner in Asheville, NC
• Providers in Asheville, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.