Mary Martin Sullens, RN FNP MHS

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

NPF 6314 Issued in CA

Practice address

2625 Edith Avenue
Suite B
Redding, CA 96001

Phone

(530) 225-7480

Fax

(530) 225-7293

NPI assigned

Mar 27, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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 and National Provider Directory roles.

• Dignity Health

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1477671535
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821116914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 TIMBERCREEK DRIVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96002",
            "telephone_number": "530-227-1840",
            "fax_number": "530-225-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 EDITH AVENUE",
            "address_2": "SUITE B",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96001",
            "telephone_number": "530-225-7480",
            "fax_number": "530-225-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLENS",
        "first_name": "MARY",
        "middle_name": "MARTIN",
        "name_prefix": "Ms.",
        "credential": "RN FNP MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "NPF 6314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACT. LICENSE",
            "identifier": "NPF 6314",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "RN 229515",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coby Daniel Sturges
• Jia Yi Su
• Francisco E Suarez, DDS
• Jacob A Suazo, MD
• Stefanie Sublett, PA-C
• Christina Lee Sullivan
• Rachel Marie Sullivan, M.D.
• Tollin Knight Sullivan, M.D.
• Laney Jane Sumner, RDH
• Michael A Sumsion, MD

• Obstetrics & Gynecology Nurse Practitioner in Redding, CA
• Providers in Redding, CA by specialty
• Obstetrics & Gynecology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.