Rosemary Sullivan, BSN, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

RN051754 Issued in AZ

Practice address

943 Hualapai Way
Peach Springs, AZ 86434-0190

Phone

(928) 769-2900

Fax

(928) 769-2701

NPI assigned

Mar 21, 2007

Last updated

Sep 11, 2025By 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 2

Addresses

Other names 1

• Miss Rosemary Johnston Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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.

• DHHS IHS Phoenix Area

  • Dental Clinic/Center
  • Peach Springs, AZ
  • NPI 1447431804
  Authorized official Same address or phone
• Peach Springs Health Center

  • Clinical Medical Laboratory
  • Peach Springs, AZ
  • NPI 1649531377
  Authorized official Same address or phone

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1730205899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "PEACH SPRINGS",
            "state": "AZ",
            "postal_code": "864340190",
            "telephone_number": "928-769-2900",
            "fax_number": "928-769-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 HUALAPAI WAY",
            "city": "PEACH SPRINGS",
            "state": "AZ",
            "postal_code": "864340190",
            "telephone_number": "928-769-2900",
            "fax_number": "928-769-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ROSEMARY",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "AZ",
            "license": "RN051754",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "AZ",
            "license": "RN051754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSEMARY",
            "last_name": "JOHNSTON",
            "prefix": "MISS",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Ann Rice
• Melissa Kay Scott, RN
• Claudia J Shultz, RN
• Nicholas Dale Sparrow, PHARM.D.
• Tina M Stevens, RN
• Victoria Leona Sullivan, RN
• Misty Asha Watahomigie
• Kendra Welsh
• Philip Louis Williams, PHARM.D.
• Nancy Jane Wilson, MD

• Ambulatory Care Registered Nurse in Peach Springs, AZ
• Providers in Peach Springs, AZ by specialty
• Ambulatory Care Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.