Individual provider Active NPI

Ariel Anne Sullivan

  • Case Manager/Care Coordinator
  • Redwood City, CA
National Provider Identifier
1649981713
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
240 Edmonds Rd., Building D
Redwood City, CA 94062
Phone
(669) 306-2983
NPI assigned
Dec 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary
Community Health Worker 172V00000X

Addresses

Primary practice location

240 Edmonds Rd., Building D
Redwood City, CA 94062

Mailing address

240 Edmonds Rd., Building D
Redwood City, CA 94062

Other identifiers 1

IdentifierTypeStateIssuer
10255049OtherCAKAISER PEMANENTE

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address sjo-roi@kp.org KAISER PERMANENTE
Direct Messaging Address HRajepandhare@momentumforhealth.org Momentum for Health
Direct Messaging Address asullivan@momentumforhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum for Health PastSince Nov 1, 2023 Accepting new patients
Momentum for Health Case Manager/Care Coordinator PastSince Nov 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hrajepandhare@momentumforhealth.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1649981713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 EDMONDS RD., BUILDING D",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 EDMONDS RD., BUILDING D",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94062",
            "telephone_number": "669-306-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ARIEL",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PEMANENTE",
            "identifier": "10255049",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjo-roi@kp.org",
            "affiliation": "Y",
            "endpointDescription": "Kaiser Permanente Records",
            "affiliationName": "KAISER PERMANENTE",
            "address_1": "2025 Morse Ave",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958252115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HRajepandhare@momentumforhealth.org",
            "affiliation": "Y",
            "affiliationName": "Momentum for Health",
            "address_1": "438 North White Road",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951271439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asullivan@momentumforhealth.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1922 The Alameda Ste 316",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951261461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.