PAUL B SULLIVAN CRNA
NPI 1023128451
Nurse Anesthetist, Certified Registered in Colfax, WA

Active since August 30, 2006
1200 W FAIRVIEW ST, COLFAX, WA 99111(509) 926-1770(509) 228-9542 Get Directions Write a Review

NPPES record last updated: November 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul B Sullivan Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL B SULLIVAN CRNA (NPI 1023128451) is an individual nurse anesthetist, certified registered in Colfax, Washington, licensed in Washington (AP30005473) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1023128451
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NamePAUL B SULLIVANCredential: CRNA
Location Address1200 W FAIRVIEW STColfax, WA 99111-9552
Mailing Address21980 E Country Vista Dr, Ste 200Liberty Lake, WA 99019-6025 · (509) 926-1770 · Fax (509) 228-9542
Fax(509) 228-9542
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateNovember 8, 2016
NPI 1023128451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in WA · AP30005473
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1200 W FAIRVIEW ST, Colfax, WA 99111

Other Identifiers 3

Medicare ID-Type UnspecifiedAB25659WA
Other912153623WA · Tax Id
Medicaid9617499WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
1200 W FAIRVIEW ST
COLFAX, WA 99111
Nurse Practitioner (Family)
1200 W FAIRVIEW ST
COLFAX, WA 99111
Physical Therapist
1200 W FAIRVIEW ST
COLFAX, WA 99111
Family Medicine
1200 W FAIRVIEW ST
COLFAX, WA 99111
Dietitian, Registered
1200 W FAIRVIEW ST
COLFAX, WA 99111
Medicare Defined Swing Bed Unit
1200 W FAIRVIEW ST
COLFAX, WA 99111
Family Medicine
1200 W FAIRVIEW ST
COLFAX, WA 99111
Family Medicine
1200 W FAIRVIEW ST
COLFAX, WA 99111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Sullivan's NPI number?

The NPI number for Paul Sullivan is 1023128451. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Paul Sullivan located?

Paul Sullivan practices at 1200 W Fairview St, Colfax, WA 99111. The listed phone number is (509) 926-1770.

What is Paul Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Paul Sullivan was last updated on November 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.