Individual provider Active NPI

Clare Sullivan, RN

  • Oncology Registered Nurse
  • Bedford, MA
National Provider Identifier
1659282564
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Registered NurseTaxonomy code 163WX0200X
License
176768 Issued in MA
Practice address
4 Wagon Wheel Dr
Bedford, MA 01730-1235
Phone
(617) 632-2000
Fax
(617) 632-2100
NPI assigned
Sep 17, 2026
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WX0200X 176768 MA Primary

Addresses

Primary practice location

4 Wagon Wheel Dr
Bedford, MA 01730-1235

Mailing address

4 Wagon Wheel Dr
Bedford, MA 01730-1235
Phone (617) 632-2000

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

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1659282564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WAGON WHEEL DR",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301235",
            "telephone_number": "617-632-2000",
            "fax_number": "617-632-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WAGON WHEEL DR",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301235",
            "telephone_number": "617-632-2000",
            "fax_number": "617-632-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CLARE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Oncology",
            "state": "MA",
            "license": "176768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.