Susan Kathleen Sullivan, M.ED.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3123 Catrina LN
Annapolis, MD 21403-4340

Phone

(443) 699-0619

NPI assigned

Mar 29, 2012

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

Master of Education

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1598031999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CHURCH CIR STE 312",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011933",
            "telephone_number": "443-699-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 CATRINA LN",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214034340",
            "telephone_number": "443-699-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SUSAN",
        "middle_name": "KATHLEEN",
        "credential": "M.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley W. Sullivan, MD
• Kelly M Sullivan, MD
• Kerrie L Sullivan, RN CFNP MSN
• Lynn Sullivan, P.T.
• Ryan Shaun Sullivan, OD
• Suzanne E. Sullivan, MD
• Gwendolyn Renee Summers, M.ED., LGPC, NCC
• Leanne Summers, M.D.
• Summit Ambulatory Surgical Center, LLC
• Sundance Services Corp

• Case Manager/Care Coordinator in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Case Manager/Care Coordinator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.