Patrick Sullivan

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4315 Bluebonnet Blvd
Baton Rouge, LA 70809-9661

Phone

(225) 223-6968

NPI assigned

Mar 23, 2016

Last updated

Nov 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1710349303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099661",
            "telephone_number": "225-223-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099661",
            "telephone_number": "225-223-6968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Chevy Ln",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Bunkie",
            "state": "LA",
            "postal_code": "71322",
            "country_code": "US",
            "telephone_number": "318-346-6542",
            "fax_number": "318-346-6543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "PATRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salim M. Sukkar, MD
• Beronica Lynn Sullivan, LCSW
• Bridget Sullivan
• Cameron Sullivan
• Heather Pearl Sullivan, RN
• Rachel Lynn Sullivan
• Stephanie Sullivan
• Whitney G Sullivan, NP
• Kerry Lee Sully, NP-C
• Summa LTC LLC (Center Point Skilled Nursing Facility)

• Case Manager/Care Coordinator in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.