Individual provider Active NPI

Ashleigh Sullivan, CRNP

  • Family Nurse Practitioner
  • Talladega, AL
National Provider Identifier
1861880064
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-118911 Issued in AL
Practice address
110 Spring St N
Talladega, AL 35160-2040
Phone
(256) 315-1697
NPI assigned
Dec 23, 2014
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-118911 AL Primary

Addresses

Primary practice location

110 Spring St N
Talladega, AL 35160-2040

Mailing address

PO Box 241348
Montgomery, AL 36124-1348

Other practice location 1

5057 Pinnacle Sq
Birmingham, AL 35235-3216
Phone (334) 288-7808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20150409002144 AL Practitioner - Nurse Practitioner 2062730724 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services, Inc Current Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Jan 20, 2015 Accepting new patients
Quality of Life Health Services, Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Jan 20, 2015 Accepting new patients

Locations

1316 Noble St
Anniston, AL 36201
Phone (256) 236-0221

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

110 Spring St N
Talladega, AL 35160
Phone (256) 315-1697

Interoperability endpoints

  • Direct secure messaging: ashleigh.sullivan@554941067886596.direct.elationemr.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1861880064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241348",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361241348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SPRING ST N",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "351602040",
            "telephone_number": "256-315-1697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5057 Pinnacle Sq",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352353216",
            "country_code": "US",
            "telephone_number": "334-288-7808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ASHLEIGH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-118911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Talladega, AL

Sources for this page

Verify at the official NPI Registry.