Joanne Sullivan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

6991 Issued in AK

Practice address

540 W International Airport Rd
C/O Hope Community Resources, Inc
Anchorage, AK 99518-1105

Phone

(907) 561-5335

Fax

(907) 272-8807

NPI assigned

Jun 9, 2014

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1689087462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W INTERNATIONAL AIRPORT RD",
            "address_2": "C/O HOPE COMMUNITY RESOURCES, INC",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181105",
            "telephone_number": "907-561-5335",
            "fax_number": "907-272-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W INTERNATIONAL AIRPORT RD",
            "address_2": "C/O HOPE COMMUNITY RESOURCES, INC",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181105",
            "telephone_number": "907-561-5335",
            "fax_number": "907-272-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JOANNE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "6991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoinette Grace Sullivan, LMSW
• Christyanne Sullivan, LMT
• Corinne Marie Sullivan
• Dana Sullivan Sullivan, OTR/L
• Halley J Sullivan
• Katherine Lynn Sullivan, DPT
• Lillian Marie Sullivan, LMT
• Mireille Lissette Sullivan
• Paige Ann Sullivan, PMHNP-BC
• Patrick Sullivan II, LMT

• Registered Nurse in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.