Individual provider Active NPI

Jamie Sullivan

  • Family Nurse Practitioner
  • Hendersonville, NC
National Provider Identifier
1568221406
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5019970 Issued in NC
Practice address
200 Heritage Cir
Hendersonville, NC 28791-0713
Phone
(872) 231-3162
NPI assigned
Mar 14, 2024
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5019970 NC Primary

Addresses

Primary practice location

200 Heritage Cir
Hendersonville, NC 28791-0713

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240521002634 NC Practitioner - Nurse Practitioner 0941642052 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Health Rehabilitation LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

8475 University Pkwy
Pensacola, FL 32514
Phone (850) 384-4125

500 Beaverdam Rd
Asheville, NC 28804
Phone (313) 318-1632

70 Sweeten Creek Rd
Asheville, NC 28803
Phone (828) 274-7645

91 Victoria Rd
Asheville, NC 28801
Phone (502) 596-7539

115 N Country Club Rd
Brevard, NC 28712
Phone (828) 553-2546

2300 Aberdeen Blvd
Gastonia, NC 28054
Phone (704) 834-3037

200 Heritage Cir
Hendersonville, NC 28791
Phone (330) 853-6500

290 Clear Creek Rd
Hendersonvlle, NC 28792
Phone (828) 692-6000

188 Oscar Justice Rd
Rutherfordton, NC 28139
Phone (828) 286-9001

1984 US Highway 70
Swannanoa, NC 28778
Phone (828) 298-2214

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1568221406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HERITAGE CIR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287910713",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5019970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.