Sullivan Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

17970 Issued in CA

Legal business name

SULLIVAN CHIROPRACTIC

Practice address

10055 Wolf Rd Ste 4
Grass Valley, CA 95949-8148

Phone

(530) 718-4102

NPI assigned

Nov 18, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lynne Ann Sulllivan, D.C.

Title

President

Phone

(530) 718-4102

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynne Ann Sullivan, D.C.

  • Chiropractor
  • Pleasanton, CA
  • NPI 1568497386
  Medicare reassignment NPD

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387497600000",
    "number": "1710317359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10980 SYCAMORE CT",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956028021",
            "telephone_number": "530-718-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10055 WOLF RD STE 4",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959498148",
            "telephone_number": "530-718-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-12-20",
        "status": "A",
        "authorized_official_last_name": "SULLLIVAN",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-718-4102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "17970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelene Arielle-Nicole Stringer
• Katherine Strolle, MFT
• Michael Joseph Strong, CERTIFIED
• Marshall Louis Stutts
• Natalie Sugrue, RADT
• Caitlin Milei Sullivan
• Nicole Marie Sullivan
• Rondha Irene Sullivan
• Nayab Sultan, MD
• Anthony Sunseri, RPSGT

• Chiropractor in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.