Jennifer N. Sullivan, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2010015962 Issued in OH

Practice address

4995 Bradenton Ave
Ste. 130
Dublin, OH 43017-3543

Phone

(614) 734-5000

Fax

(614) 734-5001

NPI assigned

Nov 28, 2011

Last updated

Mar 22, 2018By 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 OH

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Perkins Spine and Sports Medicine LLCGroup PAC ID 6709229297, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.sullivan.1@30458.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Perkins Spine and Sports Medicine, LLC

  dba Perkins Spine and Sports Medicine

  • Physical Medicine & Rehabilitation Physician
  • Dublin, OH
  • NPI 1578249157
  Medicare reassignment Care Compare group NPD
• Perkins Spine and Sports Medicine, LLC

  • Durable Medical Equipment & Medical Supplies
  • Dublin, OH
  • NPI 1871311209
  NPD
• Central Ohio Surgical Group, LLC

  dba Columbus NeuroSurgical Spine Group

  • Neurological Surgery Physician
  • Dublin, OH
  • NPI 1487711503
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1699042150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 OLENTANGY RIVER RD",
            "address_2": "STE 1010",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143901",
            "telephone_number": "614-566-4907",
            "fax_number": "614-566-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 BRADENTON AVE",
            "address_2": "STE. 130",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173543",
            "telephone_number": "614-734-5000",
            "fax_number": "614-734-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JENNIFER",
        "middle_name": "N.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "2010015962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Sucharski
• Deepak Sudheendra, MD
• Devin Suggs
• David Suh
• David Michael Sullivan, DO
• Joan E Sullivan, PHARM.D.
• Thomas H Summanen Jr., A.T.C.
• Summerhill Family Medicine, Inc.
• Marcia Summers, MD
• Christy Leigh Sumner, APRN

• Nurse Practitioner in Dublin, OH
• Providers in Dublin, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.