Rhonda S Sullivan, RN, ANCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

0114610 Issued in OK

Practice address

1902 S Nyssa PL
Broken Arrow, OK 74012-9093

Phone

(918) 829-7721

NPI assigned

Jan 26, 2019

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": "1548460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548460800000",
    "number": "1942764634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 S NYSSA PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740129093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 S NYSSA PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740129093",
            "telephone_number": "918-829-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "RHONDA",
        "middle_name": "S",
        "credential": "RN, ANCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-26",
        "last_updated": "2019-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OK",
            "license": "0114610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addison Grace Sturgeon
• Taylor Marie Sturtevant
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• Christopher James Sullivan, PHARMD
• Julie Gail Sullivan, M.D.
• Karen Jean Sumpter, MS, CCC-SLP
• Amber Sund
• Sundene Internal Medicine, PLLC
• Sunshine Smiles PLLC
• Suretrip Transit LLC

• Lactation Consultant (Registered Nurse) in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Lactation Consultant (Registered Nurse) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2019; 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.