Millicent E King-Sullivan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F347790-01 Issued in NY

Practice address

6 Orient St
Sparkill, NY 10976-1404

Phone

(845) 494-5702

NPI assigned

Oct 1, 2021

Last updated

Oct 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Care365 LLCGroup PAC ID 5496137325, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Care365 LLC

  • Primary Care Clinic/Center
  • Monsey, NY
  • NPI 1437774882
  Medicare reassignment Care Compare group
• Bon Secours Charity Health System Medical Group, P.C.

  • Internal Medicine Physician
  • Warwick, NY
  • NPI 1487694345
  Medicare reassignment NPD
• Crown Heights Medical, P.C.

  • Multi-Specialty Clinic/Center
  • Monsey, NY
  • NPI 1821210402
  Medicare reassignment NPD

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1831861434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ORIENT ST",
            "city": "SPARKILL",
            "state": "NY",
            "postal_code": "109761404",
            "telephone_number": "845-494-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ORIENT ST",
            "city": "SPARKILL",
            "state": "NY",
            "postal_code": "109761404",
            "telephone_number": "845-494-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING-SULLIVAN",
        "first_name": "MILLICENT",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347790-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kingmillie33@aol.com",
            "affiliation": "N",
            "address_1": "6 Orient St",
            "city": "Sparkill",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109761404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marilyn Eleanor Dunn, FNP
• Tami Edwards Festa, RN
• Argjend Emini, ATC
• Devon Engle
• Cambria A Jarman, ATC
• Richmond Macalintal
• Mending Minds LLC
• Kathryn Susan Minnerop, RPT
• Muriel Morgan, BA, LMT, NCMT
• Nelson E Romero Nurse Practitioner in Psychiatry PLLC

• Family Nurse Practitioner in Sparkill, NY
• Providers in Sparkill, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.