Sullivan Professional Services

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SULLIVAN PROFESSIONAL SERVICES

Practice address

9 Hogan Dr
Greenville, SC 29605-5909

Phone

(864) 209-5208

NPI assigned

Feb 1, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Latasha Gwenette SullivanNPI 1871182642

Title

Managing Director

Phone

(864) 209-5208

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latasha G Sullivan

  • Durable Medical Equipment & Medical Supplies
  • Greenville, SC
  • NPI 1871182642
  NPD Authorized official

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1477144525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HOGAN DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055909",
            "telephone_number": "864-209-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HOGAN DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296055909",
            "telephone_number": "864-209-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "GWENETTE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "864-209-5208",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871182642",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Greenville",
            "affiliation": "N",
            "address_1": "9 Hogan Dr",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296055909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anne M Sudduth, CRNA
• May Fun Suen
• Chandra Sugalski, M.ED., NCC, LPC
• James Hartman Suhrer Jr., MD
• Frederick John Suhrstedt III, MD
• Asheley Sullivan
• Bonnie Sullivan
• Emily Wilson Sullivan, OTR
• Jeffery Sullivan
• Jennifer Winkler Sullivan, CNM

• Durable Medical Equipment & Medical Supplies in Greenville, SC
• Providers in Greenville, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.