Alicia Sullivan

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2769 Issued in SC

Practice address

113 Hunters CT
Laurens, SC 29360-2372

Phone

(864) 715-9008

NPI assigned

Jun 2, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dial Sullivan Health Specialists, LLC

  • Occupational Therapist
  • Laurens, SC
  • NPI 1023683018
  NPD Authorized official
• Dial Sullivan Health Specialists, LLC

  • Home Health Agency
  • Laurens, SC
  • NPI 1952997736
  NPD Authorized official

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1497914808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 HUNTERS CT",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602372",
            "telephone_number": "864-715-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HUNTERS CT",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602372",
            "telephone_number": "864-715-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "2769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tangie Tameco Stoddard-Choice, PTA
• Mary F Stoehr, MS,CCC-SLP
• Amy Ledford Strickland, APRN, FNP-C
• Candace L Strickland, PHARMD
• Heather Strickland, COTA/L
• Carolyn Yvonne Sullivan
• Sunnyside Family Dentistry LLC
• Supplemental Health Care
• Bradley Tatko, DO
• Martha Wessinger Taylor, REGISTERED PHARMACIS

• All providers in Laurens, SC
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.