Individual provider Active NPI

Heather B Sullivan, PA-C

  • Medical Physician Assistant
  • Chandler, AZ
National Provider Identifier
1750683967
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4756 Issued in AZ
Practice address
1465 W Chandler Blvd BLDG a
Chandler, AZ 85224-6237
Phone
(480) 786-8200
Fax
(480) 857-3005
NPI assigned
Nov 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4756 AZ Primary

Addresses

Primary practice location

1465 W Chandler Blvd BLDG a
Chandler, AZ 85224-6237

Mailing address

2700 N Central Ave Ste 1050
Phoenix, AZ 85004-1217
Phone (602) 376-3353

Other identifiers 1

IdentifierTypeStateIssuer
572703MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220000567 AZ Practitioner - Physician Assistant 7517155435 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest NetworkGroup PAC ID 2567560659, 26 clinicians

Practice addresses (Care Compare)

2444 E University Dr
Suite 150
Phoenix, AZ 85034-6934
Phone (602) 304-0014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Nov 22, 2010 Accepting new patients
Maricopa County Special Health Care District CurrentSince Dec 1, 2010 Accepting new patients
Southwest Network, Inc. Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Maricopa County Special Health Care District Current Accepting new patients
District Medical Group, Inc CurrentSince Nov 22, 2010 Accepting new patients
Southwest Network CurrentSince Nov 1, 2024 Accepting new patients
Maricopa County Special Health Care District CurrentSince Dec 1, 2010 Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients

Locations

950 E Van Buren St
Avondale, AZ 85323
Phone (623) 344-6800

811 S Hamilton St
Chandler, AZ 85225
Phone (480) 344-6100

3140 N Arizona Ave
Ste 113
Chandler, AZ 85225
Phone (480) 497-4040

1465 W Chandler Blvd
Bldg A
Chandler, AZ 85224
Phone (480) 786-8200

9051 W Kelton Ln
Ste 13
Peoria, AZ 85382
Phone (623) 815-5700

2311 W Royal Palm Rd
Phoenix, AZ 85021
Phone (602) 269-5300

2444 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (602) 304-0014

4011 N 51st Ave
Phoenix, AZ 85031
Phone (623) 344-6900

1205 S 7th Ave
Phoenix, AZ 85007
Phone (602) 229-8800

5650 S 35th Ave
Phoenix, AZ 85041
Phone (602) 655-6400

3227 E Bell Rd
Ste 170
Phoenix, AZ 85032
Phone (480) 719-7383

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

1840 N 95th Ave
Ste 132
Phoenix, AZ 85037
Phone (623) 932-6950

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

2700 N Central Ave
Ste 1050
Phoenix, AZ 85004
Phone (602) 266-8402

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1750683967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N CENTRAL AVE STE 1050",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041217",
            "telephone_number": "602-376-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 W CHANDLER BLVD BLDG A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246237",
            "telephone_number": "480-786-8200",
            "fax_number": "480-857-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "HEATHER",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-19",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "572703",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.