Kathryn E. Sullivan, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

075139-23 Issued in NH

Practice address

21 Hampton Rd BLDG 3
Exeter, NH 03833-4831

Phone

(603) 775-0000

Fax

(603) 778-2856

NPI assigned

Jul 15, 2015

Last updated

Jan 20, 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 2

Addresses

Other names 1

• Kathryn E. Bruck Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Belonging Medical Group PLLCGroup PAC ID 8022443878, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmcnh@gohnh.allscriptsdirect.net

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.

• Belonging Medical Group PLLC

  dba Better Life Partners

  • General Practice Physician
  • Hanover, NH
  • NPI 1912482787

  MA

  Medicare reassignment Care Compare group NPD
• Catholic Healthcare Trust

  • Federally Qualified Health Center (FQHC)
  • Manchester, NH
  • NPI 1942215819
  Medicare reassignment NPD
• Greater Seacoast Community Health

  dba Families First Health & Support Center

  • Federally Qualified Health Center (FQHC)
  • Portsmouth, NH
  • NPI 1114935871
  Medicare reassignment NPD
• Catholic Medical Center

  dba Manchester Anesthesia Associates

  • Anesthesiology Physician
  • Manchester, NH
  • NPI 1003692112
  NPD
• Recover Together, LLC

  dba Groups Recover Together

  • Adult Mental Health Clinic/Center
  • London, KY
  • NPI 1346736758

  Family

  NPD (past)

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1801270350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HOLLAND WAY FL 1",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332997",
            "telephone_number": "603-775-0000",
            "fax_number": "603-778-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HAMPTON RD BLDG 3",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334831",
            "telephone_number": "603-775-0000",
            "fax_number": "603-778-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KATHRYN",
        "middle_name": "E.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2291390",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "075139-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmcnh@gohnh.Allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "293 Wilson St Ste 102",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031035012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "BRUCK",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stratham School District
• Isabella N Stumpf, DO
• Sarah S. Sugatt, LICSW
• Courtney E Suglia, PAC
• Sujeong Shin Counseling, PLLC
• Sunbridge Goodwin Nursing Home LLC (Exeter on Hampton Care and Rehabilitation Center)
• Sunbridge Healthcare Corporation (Langdon Place of Exeter)
• Sundance Rehabilitation Agency, Inc. (SunDance Rehabilitation Agency of New Hampshire)
• Thomas Paul Suranyi, DDS MS
• Jaipreet S Suri, MD

• Family Nurse Practitioner in Exeter, NH
• Providers in Exeter, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.
• 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.

Verify at the official NPI Registry.