Martina M Sullivan-Konyn, RN

Primary specialty

Maternal Newborn Registered NurseTaxonomy code 163WM0102X

License

25058130 Issued in WI

Practice address

2400 W Villard Ave
Milwaukee, WI 53209-4901

Phone

(414) 527-8191

NPI assigned

Nov 14, 2023

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1942074554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 N 74TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101017",
            "telephone_number": "414-745-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W VILLARD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532094901",
            "telephone_number": "414-527-8191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 N Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532114508",
            "country_code": "US",
            "telephone_number": "414-585-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN-KONYN",
        "first_name": "MARTINA",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "WI",
            "license": "25058130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasir Z Sulemanjee, MBBS
• Abdullattief Abdulaziz Sulieman, M.D.
• Sullivan Medical Clinic, LLC
• Lisa A Sullivan Vedder, MD
• Catherine Sullivan-Konyn, MSW, APSW
• Amanda Renee Sullivan, AGACNP
• Bridget Rose Gross Sullivan, M.D.
• Connor William Sullivan, M.D.
• Cristina Marie Soto Sullivan, PHD
• Dennis M Sullivan, MD

• Maternal Newborn Registered Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Maternal Newborn Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.