Mariette Elizabeth Sullivan, B.S

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

172 Lincoln St
Worcester, MA 01605-3750

Phone

(508) 770-0511

Fax

(508) 770-0875

NPI assigned

Oct 16, 2008

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

Credentials

Bachelor of Science

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1568614980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 LOWE ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533900",
            "telephone_number": "978-537-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053750",
            "telephone_number": "508-770-0511",
            "fax_number": "508-770-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MARIETTE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "B.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Sullivan
• Kelly G Sullivan, MSW, LCSW
• Kimberley Sullivan, RN
• Kristen Rudick Sullivan, RN, MSN, CRNP
• Lauren Rose Sullivan
• Martha Cecile Sullivan, FNP
• Martha M Sullivan, GENERAL DENTISTRY
• Mary Barbara Sullivan, PHARMD
• Mary E Sullivan, NP
• Mary F Sullivan, FAMILY NURSE PRACTIT

• Counselor in Worcester, MA
• Providers in Worcester, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.