Yolanda Sullivan, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN 9210016 Issued in FL

Practice address

1845 Holsonback Dr
Daytona Beach, FL 32117-5114

Phone

(386) 274-0790

Fax

(386) 274-0800

NPI assigned

Jan 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Florida Department of Health

  dba Levy County Health Department

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD (past)
• Florida Department of Health

  dba Volusia County Health Department

  • Public Health or Welfare Agency
  • Daytona Beach, FL
  • NPI 1831158039
  NPD (past)
• Florida Dept. of Health

  • Public Health or Welfare Agency
  • Orange City, FL
  • NPI 1508983669
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669519674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9190",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321209190",
            "telephone_number": "386-274-0790",
            "fax_number": "386-274-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 HOLSONBACK DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175114",
            "telephone_number": "386-274-0790",
            "fax_number": "386-274-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "YOLANDA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "FL",
            "license": "RN 9210016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL RN LICENSE NUMBER",
            "identifier": "RN 9210016",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daisy Suarez
• Angela Dugger Subbert, MA
• Maureen F. Suchenski, M.D.
• Brittany Amber Rachel Sue
• Jenni Helen Sujka
• Sun State Prosthetics Inc
• Kathleen Jing Sun, DDS
• Shuyan Sun
• Sunbelt Medical Supply & Oxygen, Inc.
• Suncoast New Options Frederick Avenue, LLC

• School Registered Nurse in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• School Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.