Campbell Kathryn Sullivan, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

339124 Issued in LA

Practice address

920 Poeyfarre St Unit 416
New Orleans, LA 70130-3857

Phone

(337) 707-7161

NPI assigned

Jan 5, 2024

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

State licenses

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1699545012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 POEYFARRE ST UNIT 416",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701303857",
            "telephone_number": "337-707-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 POEYFARRE ST UNIT 416",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701303857",
            "telephone_number": "337-707-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CAMPBELL",
        "middle_name": "KATHRYN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "LA",
            "license": "339124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charalda Monique Sullen, MA, PLPC, MHP, MST
• Redondra Sullen
• Beth Carriere Sullivan, FNP
• Brandy Heather Sullivan, MD, MPH
• Caitlin Marie Sullivan, MD, MS
• Frances Grace Sullivan
• Jerry Warner Sullivan, MD
• Kathleen Therese Sullivan, MD
• Kevin Michael Sullivan, MD
• Laura Sullivan, LPC, NCC

• Pediatric Occupational Therapist in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Pediatric Occupational Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.