Margaret M Sullivan, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

207233 Issued in MA

Practice address

770 Centre St
Jamaica Plain, MA 02130-2706

Phone

(617) 524-2121

Fax

(617) 524-3810

NPI assigned

Feb 12, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Atreva Health Care, Inc.

  • Primary Care Clinic/Center
  • Jamaica Plain, MA
  • NPI 1659415073
  NPD (past)
• Medical Care of Boston Management Corporation

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1437196359
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972644862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 EMMONSDALE RD",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021322975",
            "telephone_number": "617-325-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 CENTRE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302706",
            "telephone_number": "617-524-2121",
            "fax_number": "617-524-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MARGARET",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "207233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0388921",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aditi Subramaniam, LMHC
• Robert D. Sullaway, MSW
• Maura Ann Sullivan-Moore, ANP
• Jeannine Balbiers Sullivan, RD
• Kelly Anne Sullivan, LCSW
• Mary-Christine Sullivan, N.P.
• Abubakarr Sumah
• Erin Sundstrom
• Melissa B. Sunog, LICSW
• Robert Surabian

• Family Nurse Practitioner in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Family Nurse Practitioner in Massachusetts

• 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.

Verify at the official NPI Registry.