Tanya Christine Sullivan, APRN, MSN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN01714 Issued in RI

Practice address

13 Brown Street Andrews House
Providence, RI 02912

Phone

(617) 287-8000

NPI assigned

Feb 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1477527182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 1928",
            "address_2": "13 BROWN STREET ANDREWS HOUSE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02912",
            "telephone_number": "508-359-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BROWN STREET ANDREWS HOUSE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02912",
            "telephone_number": "617-287-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "TANYA",
        "middle_name": "CHRISTINE",
        "credential": "APRN, MSN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "238094",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN01714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Sullivan, MD
• Patrick B. Sullivan, M.D.
• Rachel Aileen Sullivan, MD
• Rachel R Sullivan
• Shannon Sullivan, LCSW
• Vrishali Suman, MD
• Dale Sumilang
• Jack Rocco Summa, PHARMD, RPH
• Summit Medical Group
• Summit Ri SNF, LLC

• Family Nurse Practitioner in Providence, RI
• Providers in Providence, RI by specialty
• Family Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.