MR. ARTHUR LEE SULLIVAN (NPI# 1659569770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659569770 |
| Entity Type | Individual |
| Full Name | MR. ARTHUR LEE SULLIVAN |
| Credential | FNP |
| Practice Address |
12201 Renfert Way Suite 360 Austin TX 78758-5354 |
| Practice Telephone | 5129777000 |
| Practice Fax Number | 5129777001 |
| Mailing Telephone | 5129777000 |
| Mailing Fax Number | 5129777001 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 640304 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RN LICENSE | 640304 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992366256 | Arthur Sullivan | Psychologist | 355 Fishkill Ave, Beacon, NY 12508-2061 | 2019-06-26 |
| 1972709368 | Arthur Francis Sullivan Iv | Emergency Medicine | 400 S 43rd St, Renton, WA 98055-5714 | 2007-06-22 |
| Street Address |
12201 RENFERT WAY SUITE 360 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78758-5354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858707 | Melanie Alice Collins | Obstetrics & Gynecology | 12201 Renfert Way, Ste 205, Austin, TX 78758-5369 | 2005-06-01 |
| 1285094060 | Amanda Nicole Armond | Nurse Practitioner | 12201 Renfert Way, Ste. 225, Austin, TX 78758-5354 | 2016-03-07 |
| 1316326200 | Rachel Danielle White | Physician Assistant | 12201 Renfert Way, Suite 115, Austin, TX 78758-5354 | 2015-05-25 |
| 1902166432 | Erin Lafitte | Occupational Therapist | 12201 Renfert Way, Suite 115, Austin, TX 78758-5354 | 2012-05-17 |
| 1861798316 | James Andrew Clark | Physician Assistant | 12201 Renfert Way, Suite 100, Austin, TX 78758-5354 | 2011-02-01 |
| 1548574247 | Capital Obgyn Associates of Texas, Pa | Obstetrics & Gynecology | 12201 Renfert Way, Suite 325, Austin, TX 78758-5354 | 2010-08-05 |
| 1831400464 | Sheridan Nicole Delomel Burman | Dentist | 12201 Renfert Way, Suite Number 345, Austin, TX 78758-5354 | 2010-06-29 |
| 1811210503 | Katherine N Davidson | Nurse Practitioner | 12201 Renfert Way, Suite 220, Austin, TX 78758-5354 | 2010-03-09 |
| 1376876136 | Ginger Elizabeth Truitt | Obstetrics & Gynecology | 12201 Renfert Way, Ste 215, Austin, TX 78758-5354 | 2009-09-11 |
| 1417189390 | Austin Medical Group Pllc | Family Medicine | 12201 Renfert Way, #370, Austin, TX 78758-5354 | 2009-08-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644065 | Seton Family of Doctors | Internal Medicine | 3001 Palm Way, D1 : 134-138, Austin, TX 78758 | 2020-09-17 |
| 1083243661 | Donna Bella Laurel Portillo | Pharmacist | 12221 N Mopac Expwy, Austin, TX 78758 | 2020-04-05 |
| 1881249092 | Elizabeth Logan Anderson | Behavioral Analyst | 2100 Kramer Ln., Suite 150, Austin, TX 78758 | 2019-08-05 |
| 1295388502 | Bridget Sue Morgan | Behavioral Analyst | 2100 Kramer Ln #150, Austin, TX 78758 | 2019-07-17 |
| 1508326885 | Jonathan James Runnels | Anesthesiologist Assistant | 12221n Mopac, Austin, TX 78758 | 2019-03-22 |
| 1427527324 | Nayely Gutierrez | Dietitian, Registered | 8606 Delaware Ct, Austin, TX 78758 | 2018-11-20 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
| 1528545456 | Alexis N Bongiorno | Registered Nurse | 11901 Hobby Horse Court, 1516, Austin, TX 78758 | 2018-07-24 |
| 1679072573 | Lori Scott | Counselor | 1600 Payton Gin Road, Austin, TX 78758 | 2018-02-06 |
| 1003322488 | Lisa Robyn Lee | Behavior Technician | 2018 W Rundberg Ln, #13d, Austin, TX 78758 | 2017-12-20 |
| Find all providers in zip 78758 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1982201281 | Alison Conway | Nurse Practitioner | 2900 S 1st St Apt 123, Austin, TX 78704-6368 | 2020-10-08 |
| 1629680525 | Elizabeth Britt Dufrene | Nurse Practitioner | 8102 Isaac Pryor Dr, Austin, TX 78749-1863 | 2020-08-21 |
| 1679105258 | Karen Troylyn Karnaky | Nurse Practitioner | 806 West Ave, Austin, TX 78701-2208 | 2020-02-11 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1457904401 | Megan Grace Berard | Nurse Practitioner | 3801 N Lamar Blvd Suite 300, Austin, TX 78756-4080 | 2019-07-18 |
| 1457825747 | Cecilia Joe Davis | Nurse Practitioner | 3410 Far West Blvd Ste 110, Austin, TX 78731-3187 | 2019-01-20 |
| 1811406192 | Msh Diamondback Health Services LLC | Nurse Practitioner | 16219 Ranch Road 620, Austin, TX 78717 | 2017-09-29 |
| 1023536414 | Alyssa Evens | Nurse Practitioner | 300 E Highland Mall Blvd Ste 1a, Austin, TX 78752-3746 | 2017-09-06 |
| 1710340963 | Kimberly Ellison | Nurse Practitioner | 1400 N. Ih 35; Ste 300, Seton Surgical Group, Austin, TX 78701 | 2016-04-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.