Active NPI
Barbara Ann Grace Sullivan, PHD APRN
- Pediatric Registered Nurse
- New London, CT
National Provider Identifier
1851494991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 000924
- Practice address
- 7 Vauxhall St
Child & Family Agency of Southeastern CT Inc
New London, CT 06320 - Phone
- (860) 442-2797
- Fax
- (860) 701-3776
- NPI assigned
- Sep 6, 2006
- Last updated
- Sep 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R42162 | CT | |
| Pediatric Registered Nurse | 163WP0200X | 000924 | CT | Primary |
Addresses
Primary practice location
7 Vauxhall St
Child & Family Agency of Southeastern CT Inc
New London, CT 06320
Mailing address
33 Old Kings Highway
Hampton, CT 06247
Phone (860) 455-2099
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R42162 | CT | MD | Registered Nurse |
| 000924 | CT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1851494991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 OLD KINGS HIGHWAY",
"city": "HAMPTON",
"state": "CT",
"postal_code": "06247",
"telephone_number": "860-455-2099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 VAUXHALL ST",
"address_2": "CHILD & FAMILY AGENCY OF SOUTHEASTERN CT INC",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "06320",
"telephone_number": "860-442-2797",
"fax_number": "860-701-3776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "BARBARA",
"middle_name": "ANN GRACE",
"name_prefix": "Ms.",
"credential": "PHD APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "R42162",
"primary": false
},
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "CT",
"license": "000924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.