Katherine Ann Sullivan, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71012202A Issued in IN

Practice address

1530 N 7TH St Ste 201
Terre Haute, IN 47807-1061

Phone

(812) 238-7631

NPI assigned

Jan 12, 2022

Last updated

Feb 14, 2022By the provider in NPPES

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

Enrolled in IN

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

Valley Professionals Community Health Center IncGroup PAC ID 7618067265, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
• Union Hospital Clinton Hospital, Clinton, IN, CCN 151326

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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.

• Valley Professionals Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Clinton, IN
  • NPI 1104006253
  Medicare reassignment Care Compare group NPD
• Valley Professionals Community Health Center Inc

  dba VPCHC-Clinton Dental

  • Federally Qualified Health Center (FQHC)
  • Clinton, IN
  • NPI 1972312973
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Union Hospital Inc.

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1619975331
  Care Compare affiliation
• Union Hospital, Inc

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1821859752
  Care Compare affiliation
• Union Hospital, Inc.

  dba Union Hospital Clinton

  • Critical Access Hospital
  • Clinton, IN
  • NPI 1306844519
  Care Compare affiliation
• West Central Community Hospital

  • General Acute Care Hospital
  • Clinton, IN
  • NPI 1093713802
  Care Compare affiliation

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1881345874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER",
            "address_2": "1530 N 7TH ST SUITE 201",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47807",
            "telephone_number": "812-238-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N 7TH ST STE 201",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071061",
            "telephone_number": "812-238-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012202A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandi Jo Stuck, LCSW
• Brooke Sudduth
• Young Soo Suh, MD
• Sullivan County Community Hospital (Dugger Medical Clinic)
• Ashley Lynn Sullivan, PHARMD
• Kathrine Marie Sullivan, LSW
• Lauren Sullivan, COTA
• Martha L Sullivan, PT
• Pollyanna Sumansky, AUD
• Summit BHC Henryville, LLC (Anabranch Recovery Center)

• Family Nurse Practitioner in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.