Ashanti Sullivan, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

89903 Issued in SC

Practice address

5 Gorham CT
Simpsonville, SC 29680-7914

Phone

(864) 631-6832

NPI assigned

Jan 31, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1871246827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GORHAM CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807914",
            "telephone_number": "864-631-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GORHAM CT",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807914",
            "telephone_number": "864-631-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "ASHANTI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "SC",
            "license": "89903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Charles Stratton, DC
• Michelle Straw, MS CCC-SLP
• Sharon Blaiz Streetman-Loy, PHD, LISW-CP
• Crystal Nicole Stroh
• Susan Elaine Stromer, R.N.
• Cierra Sullivan, COTA/L
• Ronnette Latrice Sumler
• Summit Place Living Center, LLC
• Summit Speech & Language
• Janine Carla Dijan Sunga, DPT

• General Practice Registered Nurse in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• General Practice Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.