Kari Lyn Sullivan, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704281889 Issued in MI

Practice address

926 N Michigan Ave
Saginaw, MI 48602-4369

Phone

(989) 753-8453

Fax

(989) 753-3519

NPI assigned

Oct 1, 2018

Last updated

Mar 17, 2022By the provider in NPPES

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

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pain Consultants of Michigan, PLC

  • Anesthesiology Physician
  • Saginaw, MI
  • NPI 1679763569
  NPD (past)

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1720563208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 COTTAGE GROVE CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049529",
            "telephone_number": "989-928-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024369",
            "telephone_number": "989-753-8453",
            "fax_number": "989-753-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KARI",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704281889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jung Suhr, MD
• Jeremy Suitor, PT, DPT OCS
• Kizhakepat Sukumaran, M.D.
• Nasser Khalil Suleiman, MD
• Breanna Sullivan
• Megan Sullivan
• Michael W. Sullivan, M.D.
• Sabrina Sullivan, LPTA
• Renee Sundstrom, DO
• Sunshine ABA LLC

• Family Nurse Practitioner in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.