Carol Sullivan, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

321357 Issued in WI

Practice address

1201 S Lee St
Appleton, WI 54915-3723

Phone

(920) 749-1072

NPI assigned

Jan 15, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1484438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484438400000",
    "number": "1902342959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S LEE ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549153723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S LEE ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549153723",
            "telephone_number": "920-749-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CAROL",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-15",
        "last_updated": "2017-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "321357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahul Sridhar Subbarayan, M.D
• Rishi Subbarayan
• Julia Morgan Sucharski, PT
• Athra Suliman
• Sullivan Eye Center, S.C.
• Hannah M Sullivan, DPT
• Robert D Sullivan, M.D.
• Susan Sung, MD
• Cynthia Frances Susedik, D.O.
• Dean M Sutton, APNP

• Licensed Practical Nurse in Appleton, WI
• Providers in Appleton, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2017; 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.