Brooke Anne Sullivan

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN196705 Issued in AZ

Practice address

7651 N Oldfather Dr
Tucson, AZ 85741-1621

Phone

(520) 616-3013

Fax

(520) 579-4909

NPI assigned

Oct 1, 2024

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1568280287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7651 N OLDFATHER DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857411621",
            "telephone_number": "520-616-3013",
            "fax_number": "520-579-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 N OLDFATHER DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857411621",
            "telephone_number": "520-616-3013",
            "fax_number": "520-579-4909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 W Cortaro Farms Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857428798",
            "country_code": "US",
            "telephone_number": "520-579-4700",
            "fax_number": "520-744-3693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5051 W Overton Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857429373",
            "country_code": "US",
            "telephone_number": "520-579-4800",
            "fax_number": "520-579-4840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4101 W Hardy Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857428917",
            "country_code": "US",
            "telephone_number": "520-579-4600",
            "fax_number": "520-579-4648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8500 N Continental Reserve Loop",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857431494",
            "country_code": "US",
            "telephone_number": "520-352-7000",
            "fax_number": "520-744-3274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "BROOKE",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN196705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adelina Isabella Lilani Sullivan, MD
• Anna Marie Sullivan, RN
• Anne Marie Sullivan
• Barry Sullivan, DDS
• Bethany Esther Sullivan, RBT
• Christopher Andrew Sullivan, MD
• Emily Anne Sullivan, OTR
• James P. Sullivan, PHD
• Janelle Sullivan, L.M.T.
• Jo M Sullivan, N.P.

• School Registered Nurse in Tucson, AZ
• Providers in Tucson, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.