Active NPI
Neva Joyce Sullins, OTRL
- Contractor
- Cottontown, TN
National Provider Identifier
1902999469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- KY-R0350
- Practice address
- 108 Baldridge Drive
Cottontown, TN 37048 - Phone
- (615) 415-4002
- Fax
- (615) 672-0756
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | KY-R0350 | KY | Primary |
Addresses
Primary practice location
108 Baldridge Drive
Cottontown, TN 37048
Mailing address
108 Baldridge Drive
Cottontown, TN 37048
Phone (615) 415-4002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KY-R0350 | Other | KY | OCCUPATIONAL THERAPIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-R0350 | KY | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902999469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 BALDRIDGE DRIVE",
"city": "COTTONTOWN",
"state": "TN",
"postal_code": "37048",
"telephone_number": "615-415-4002",
"fax_number": "615-672-0756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 BALDRIDGE DRIVE",
"city": "COTTONTOWN",
"state": "TN",
"postal_code": "37048",
"telephone_number": "615-415-4002",
"fax_number": "615-672-0756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLINS",
"first_name": "NEVA",
"middle_name": "JOYCE",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "KY",
"license": "KY-R0350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPIST",
"identifier": "KY-R0350",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cottontown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.