Tonya Sullivan, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11034412 Issued in FL

Practice address

6440 W Newberry Rd Ste 409
Gainesville, FL 32605-4370

Phone

(352) 333-6161

Fax

(352) 333-6162

NPI assigned

Jul 31, 2024

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

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Well Balanced Healthcare, LLCGroup PAC ID 5193155885, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Butler Hospital Hospital, Lake Butler, FL, CCN 101303

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tonya.sullivan.1@21543.direct.athenahealth.com

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.

• Well Balanced Healthcare, LLC

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Gainesville, FL
  • NPI 1912534884
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Medlink Management Services Inc

  • Critical Access Hospital
  • Lake Butler, FL
  • NPI 1013972272
  Care Compare affiliation

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1669201315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 W NEWBERRY RD STE 409",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054370",
            "telephone_number": "352-333-6161",
            "fax_number": "352-333-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 W NEWBERRY RD STE 409",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054370",
            "telephone_number": "352-333-6161",
            "fax_number": "352-333-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "TONYA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11034412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael T Sullivan, OT
• Patricia Anne Sullivan, D.M.D.
• Samantha Jane Sullivan, APRN
• Sandra E Sullivan, MD
• Tara Flynn Sullivan, PHARMD
• Amitabh Suman, MD
• Jill Michelle Sumfest, M.D.
• Laura Beth Sumler, PA-C
• Summerlin Imaging Center LLC
• Dawna Louise Summers, RDCD

• Nurse Practitioner in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.