Christine Sullivan

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

142381 Issued in MA

Practice address

2100 Dorchester Ave
Dorchester Center, MA 02124-5615

Phone

(617) 298-4632

Fax

(617) 296-6919

NPI assigned

Apr 25, 2006

Last updated

Feb 3, 2010By the provider in NPPES

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)

Enrolled

Credentials

Certified Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boston Medical Group, PC

  • Pulmonary Disease Physician
  • Dorchester Center, MA
  • NPI 1538101191
  NPD (past)
• Caritas Medical Group, Inc.

  • Specialist
  • Brighton, MA
  • NPI 1174513204
  NPD (past)
• Southeast Anesthesia Assoc

  • Anesthesiology Physician
  • Dorchester Center, MA
  • NPI 1891780078
  NPD (past)
• Steward Medical Group, Inc.

  • Specialist
  • Brighton, MA
  • NPI 1073826111
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1992761217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAIN STREET",
            "address_2": "SUITE 670",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081604",
            "telephone_number": "508-754-3566",
            "fax_number": "508-798-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DORCHESTER AVE",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245615",
            "telephone_number": "617-298-4632",
            "fax_number": "617-296-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "142381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna L Springs, MD
• Steward Carney Hospital, Inc. (Steward Home Medical Equipment - Carney Hospital)
• Steward Carney Hospital, Inc.
• Steward Carney Hospital, Inc.
• Steward Pet Imaging, L.L.C. (Steward PET Imaging, LLC at Carney Hospital)
• Gayl Swaby
• Mustafa M Syed, MD
• Trevor John Szymanski, MD
• Antonia Ho Tarara, PHARM.D
• Gary L Taylor, M.D.

• Certified Registered Nurse Anesthetist in Dorchester Center, MA
• Providers in Dorchester Center, MA by specialty
• Certified Registered Nurse Anesthetist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.