Nickcola Lee Sullivan, AGNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5007015 Issued in NC

Practice address

75 Monte Vista Ter
Candler, NC 28715-9436

Phone

(828) 381-2788

NPI assigned

Jul 21, 2014

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 names 1

• Mrs. Nickcola Sullivan Huffman Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Duke University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Eldercare PAGroup PAC ID 0648184705, 236 clinicians

Curana Health of North Carolina PLLCGroup PAC ID 1850774332, 274 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Curana Health of North Carolina PLLC

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1770217176
  Medicare reassignment Care Compare group NPD
• Physicians Eldercare PA

  • General Practice Physician
  • Durham, NC
  • NPI 1023083268
  Medicare reassignment Care Compare group NPD
• Krishiroshi, LLC

  • Family Medicine Physician
  • Asheville, NC
  • NPI 1063753804
  Medicare reassignment NPD
• Telos Health Systems NC PLLC

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1265064414
  Medicare reassignment NPD
• Longevity Clinical LTC Associates of North Carolina PLLC

  • Primary Care Nurse Practitioner
  • Salisbury, NC
  • NPI 1154907855
  Medicare reassignment

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1992112007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MONTE VISTA TER",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287159436",
            "telephone_number": "828-381-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MONTE VISTA TER",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287159436",
            "telephone_number": "828-381-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "NICKCOLA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5007015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICKCOLA",
            "last_name": "HUFFMAN",
            "middle_name": "SULLIVAN",
            "prefix": "MRS.",
            "credential": "AGNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Byrne Stoia, F.N.P.
• Strategic Interventions, Inc
• Strategic Interventions, Inc.
• Strategic Interventions, Inc.
• Stuart S Yoon, DDS, PA
• Sunshine Speech & Language Services, PLLC
• Melanie Struzzi Sutton, PT, DPT, WCS
• Cameron Swift, DMD
• John Samuel Taggart, PHARMD
• Jennifer E Taylor

• Adult Health Nurse Practitioner in Candler, NC
• Providers in Candler, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.