Geri Mae Sullivan, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP00057464 Issued in WA

Practice address

6512 E 18TH Ave
Spokane Valley, WA 99212-0161

Phone

(509) 230-4951

NPI assigned

Sep 27, 2018

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• WCHS Inc

  • Methadone Clinic
  • Spokane, WA
  • NPI 1215205224
  NPD (past)

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1700361508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6512 E 18TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992120161",
            "telephone_number": "509-230-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 E 18TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992120161",
            "telephone_number": "509-230-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "GERI",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00057464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sullivan Alf Community Healthcare LLC
• Sullivan Cottages, L.L.C.
• Sullivan Ilf Community Healthcare LLC
• Sullivan SNF Healthcare LLC
• Sullivan Ventures LLC
• Tammy K. Sullivan, RPH
• Jaclyn Danielle Summers, LMP
• Summit Rehab Valley Corporation
• Brock Winfield Sumner
• Sunshine Adult Family Home I LLC

• Licensed Practical Nurse in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.