Active NPI
Heather B Sullivan, PA-C
- Medical Physician Assistant
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 4756
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 572703 | Medicaid | AZ |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| Maricopa County Special Health Care District | Current | Accepting new patients | |
| Southwest Network, Inc. | Family Medicine | Current | Accepting new patients |
| Maricopa County Special Health Care District | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Southwest Network | Current | Accepting new patients | |
| Maricopa County Special Health Care District | Current | 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.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1104856004
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1073576740
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Obstetrics & Gynecology Physician
- Phoenix, AZ
- NPI 1083947196
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Adult Mental Health Clinic/Center
- Mesa, AZ
- NPI 1104331115
-
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1306265145
-
- Community/Behavioral Health Agency
- Chandler, AZ
- NPI 1487981338
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.