Renee Michelle Sullivan, RNFA

Primary specialty

Perioperative Clinical Nurse SpecialistTaxonomy code 364SP2800X

License

RN60069253 Issued in WA

Practice address

1506 W 46TH Ave
Kennewick, WA 99337-3935

Phone

(509) 586-4880

NPI assigned

Apr 24, 2013

Last updated

Apr 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1710321419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 W 46TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993373935",
            "telephone_number": "509-586-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 W 46TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993373935",
            "telephone_number": "509-586-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "RENEE",
        "middle_name": "MICHELLE",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP2800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Perioperative",
            "state": "WA",
            "license": "RN60069253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren G Stueckle, OD
• Summer A Sturges, M.A., CCC-SLP
• Zoe Kate Suarez
• Kayla Ann Sullins, MSAT, LAT, ATC
• Kyle Robert Sullivan
• Summit Anesthesia PLLC
• Summit Physical Therapy, Inc.
• Joelle Sumner
• Sophia Keely Sumner
• Sunday Investments, LLC (First Step Community Counseling Services)

• Clinical Nurse Specialist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Clinical Nurse Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.