Andrea D Sullivan
Individual provider Active NPI Naturopath · Silver Spring, MD
NPI 1891048005 · NPPES record last updated Nov 26, 2024
Key facts
- NPI
- 1891048005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- License
- NP-0020 (DC)
- Practice address
- 8601 Manchester Road
Suite 213
Silver Spring, MD 20901 - Phone
- (202) 244-4545
- NPI assigned
- Oct 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-0020 | DC | MD | Naturopath |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | NP-0020 | DC | Yes |
Addresses
Primary practice location
8601 Manchester Road
Suite 213
Silver Spring, MD 20901
Mailing address
8601 Manchester Road
Suite 213
Silver Spring, MD 20901
Phone (202) 244-4545
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.