Active NPI
Tammy Sue Sullivan, D.C.
- Chiropractor
- Perry, MI
National Provider Identifier
1831381979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301007998
- Practice address
- 245 N Main St
Perry, MI 48872-0275 - Phone
- (517) 625-0577
- Fax
- (517) 625-0578
- NPI assigned
- Aug 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301007998 | MI | Primary |
Addresses
Primary practice location
245 N Main St
Perry, MI 48872-0275
Mailing address
PO Box 275
Perry, MI 48872-0275
Phone (517) 625-0577
Other names 1
- Dr. Tammy Sue Edington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255305600000",
"number": "1831381979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 275",
"city": "PERRY",
"state": "MI",
"postal_code": "488720275",
"telephone_number": "517-625-0577",
"fax_number": "517-625-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 N MAIN ST",
"city": "PERRY",
"state": "MI",
"postal_code": "488720275",
"telephone_number": "517-625-0577",
"fax_number": "517-625-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "TAMMY",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2009-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301007998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMMY",
"last_name": "EDINGTON",
"middle_name": "SUE",
"prefix": "DR.",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Perry, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.