Carolyn Shannon Sullivan, LIC. AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Practice address

387 Quarry St
National Physical Therapy
Fall River, MA 02723-1025

Phone

(508) 324-9300

NPI assigned

Feb 17, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1669794699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EDGECLIFF RD",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723544",
            "telephone_number": "617-458-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 QUARRY ST",
            "address_2": "NATIONAL PHYSICAL THERAPY",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027231025",
            "telephone_number": "508-324-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CAROLYN",
        "middle_name": "SHANNON",
        "credential": "LIC. AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Street, LCSW
• Jennifer Miranda Strollo, APRN
• Morgan Styren
• Taylor Suffoletto
• Suite Life Medical PC
• Karen Schneider Sullivan, MS-CCC-SLP
• Laura D Sullivan, CRNA
• Maryann Sullivan, CADAC
• Patricia Sullivan Jane Sullivan, LICSW
• Taylor Sullivan

• Acupuncturist in Fall River, MA
• Providers in Fall River, MA by specialty
• Acupuncturist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.