Katie L Sullivan, M.S., SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP2077 Issued in AZ

Practice address

5040 E Shea Blvd
Suite 168
Scottsdale, AZ 85254-4600

Phone

(480) 483-1025

Fax

(480) 483-1026

NPI assigned

Jul 22, 2008

Last updated

Jul 22, 2008By 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

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Heartland Therapy, Inc.

  • Home Health Agency
  • Mesa, AZ
  • NPI 1962552547
  Medicare reassignment NPD
• Theracare PLLC

  • Occupational Therapist
  • Peoria, AZ
  • NPI 1962784249

  Speech-Language Pathologist

  Medicare reassignment NPD
• Kidzspot Pediatric Therapy-East Valley

  • Pediatric Occupational Therapist
  • Mesa, AZ
  • NPI 1588720825

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1851556559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12521 N 91ST WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605038",
            "telephone_number": "602-999-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 E SHEA BLVD",
            "address_2": "SUITE 168",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544600",
            "telephone_number": "480-483-1025",
            "fax_number": "480-483-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KATIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.S., SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP2077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Sulger, M.S. CF-SLP
• William F. Sulkey Jr.
• James Michael Sulkosky, M.D.
• Jessica Sullivan Robbins, HADE11185
• Helen Ruth Sullivan, APRN
• Logan Jon Sullivan, PT
• Megan M Sullivan, M.D.
• Shane Sullivan
• Shawn Michael Sullivan, D.O.
• Stacey J Sullivan, M.D.

• Speech-Language Pathologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.