Cheryl A. Sullivant, R. N. B.S.N.

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

13-31706-102 Issued in KS

Practice address

7840 Washington Ave
Kansas City, KS 66112-2152

Phone

(913) 328-4600

NPI assigned

Dec 5, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1922166735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 WASHINGTON AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122152",
            "telephone_number": "913-328-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 WASHINGTON AVE",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661122152",
            "telephone_number": "913-328-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVANT",
        "first_name": "CHERYL",
        "middle_name": "A.",
        "credential": "R. N. B.S.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "KS",
            "license": "13-31706-102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098080A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SED WAIVER",
            "identifier": "100098080C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol J Sullivan, LSCSW
• Darcy Sullivan, PA-C
• Lauren Elizabeth Sullivan, MD
• Michael Sullivan, MD
• Peter J Sullivan, DO
• Jayashree Sundararajan, MD
• Sunflower Adult Daycare Inc
• Sunflower Therapy LLC
• Sunrise Homecare LLC
• Sunshine Healthcare LLC

• Adult Psychiatric/Mental Health Registered Nurse in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.