Laurie Lucker Sullivan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2012029922 Issued in MO

Practice address

801 N 11TH St FL 2
Dept. of Special Education
Saint Louis, MO 63101-1015

Phone

(314) 633-5354

NPI assigned

Oct 26, 2012

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

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1649524778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 PARKER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631163721",
            "telephone_number": "618-334-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N 11TH ST FL 2",
            "address_2": "DEPT. OF SPECIAL EDUCATION",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631011015",
            "telephone_number": "314-633-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "LAURIE",
        "middle_name": "LUCKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2012029922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karolyn Nicole Sullivan, MA, LPC
• Kevin P Sullivan, LPC
• Kimberly Denise Sullivan, R.N.
• Kimberly Evette Sullivan, RN, BSN
• Lauren K Sullivan, DPT
• Mary E Sullivan, ACNP
• Meghan Sullivan, CNP
• Miya Venetia Sullivan, MS, ATC
• Sarah Christian Sullivan, MD
• Sheila Kay Sullivan, MD

• Speech-Language Pathologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.