Active NPI
Diana Louise Sullivan, RC, CDPT
- Counselor
- Bellingham, WA
National Provider Identifier
1477613792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- RC00043461
- Practice address
- 2806 Douglas Ave
Bellingham, WA 98225-6930 - Phone
- (360) 676-2187
- Fax
- (360) 676-2162
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | RC00043461 | WA | Primary |
Addresses
Primary practice location
2806 Douglas Ave
Bellingham, WA 98225-6930
Mailing address
3019 Cedar LN
Sedro Woolley, WA 98284-9509
Phone (360) 595-2637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00043461 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477613792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3019 CEDAR LN",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "982849509",
"telephone_number": "360-595-2637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2806 DOUGLAS AVE",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982256930",
"telephone_number": "360-676-2187",
"fax_number": "360-676-2162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "DIANA",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "RC, CDPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "RC00043461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.