Kathy Hollenbaugh Sullivan, RN, MSN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

LB0000194 Issued in DE

Practice address

300 Biddle Ave
Suite 201
Newark, DE 19702-3969

Phone

(302) 838-4700

Fax

(302) 838-4793

NPI assigned

Jun 28, 2006

Last updated

Dec 9, 2015By the provider in NPPES

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

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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

• Christiana Care Health Services, Inc

  dba CCHS Pmri

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, DE
  • NPI 1770568107
  Medicare reassignment NPD
• Christiana Care Health Services Inc

  dba CCHS Diabetes & Metabolic

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, DE
  • NPI 1407830748

  Adult Health

  NPD
• Christiana Care Health Services Inc

  dba CCHS Concord - Neurology

  • Neurology Physician
  • Chadds Ford, PA
  • NPI 1881228484
  NPD
• Seth L Ivins MD LLC

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1669661534
  NPD (past)
• Vascular Consultants PA

  • Vascular Surgery Physician
  • Newark, DE
  • NPI 1366455123
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1659309086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BIDDLE AVE",
            "address_2": "SUITE 201",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023969",
            "telephone_number": "302-838-4774",
            "fax_number": "302-838-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BIDDLE AVE",
            "address_2": "SUITE 201",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023969",
            "telephone_number": "302-838-4700",
            "fax_number": "302-838-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KATHY",
        "middle_name": "HOLLENBAUGH",
        "credential": "RN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DE",
            "license": "LB0000194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erwin D Suh, MD
• Abbey Sule, FNP-C
• Christine Veronica Sullivan, FNP-C
• Devin Marie Sullivan, DO
• Janice Sullivan, MPT
• Theresa Sullivan, LCSW
• Thomas Sullivan
• Adam M Sunday
• Sundew Therapy and Wellness LLC
• Raheed Sunesra, MD

• Adult Health Nurse Practitioner in Newark, DE
• Providers in Newark, DE by specialty
• Adult Health Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.