Debra Ann Sullivan, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

06S0147790 Issued in CA

Practice address

3065 Freeport Blvd
Sacramento, CA 95818-4347

Phone

(916) 391-3057

Fax

(916) 552-7940

NPI assigned

Jul 8, 2008

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1932362274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SPRINGBROOK CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958312114",
            "telephone_number": "916-391-3057",
            "fax_number": "916-552-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 FREEPORT BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958184347",
            "telephone_number": "916-391-3057",
            "fax_number": "916-552-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "06S0147790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristan Sulger
• Saad Amir Sulieman
• Tanesha Sullins
• Alison Sullivan, RN
• Brianna Sullivan, PA
• Dennis J Sullivan, M.D.
• Diana Sullivan
• Frances Sullivan, OT
• Glenn Michael Sullivan
• Madeline Olivia Sullivan

• Massage Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.