MARY F SULLIVAN FAMILY NURSE PRACTIT
NPI 1043220049
Nurse Practitioner in Worcester, MA

Q: What is Mary Sullivan's NPI number?

The NPI number for Mary Sullivan is 1043220049. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Mary Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Sullivan was last updated on February 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since August 09, 2006

116 BELMONT ST, SUITE 11, WORCESTER, MA 01605(508) 334-1102 Get Directions Write a Review

NPPES record last updated: February 26, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary F Sullivan Family Nurse Practit NPPES

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

MARY F SULLIVAN FAMILY NURSE PRACTIT (NPI 1043220049) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (RN124312) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1043220049

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY F SULLIVANCredential: FAMILY NURSE PRACTIT

Location Address116 BELMONT ST, SUITE 11Worcester, MA 01605-2964

Mailing AddressPo Box 415348Boston, MA 02241-5348

Phone(508) 334-1102

Sole ProprietorNo

Enumeration DateAugust 9, 2006

Last NPPES UpdateFebruary 26, 2014

✔ NPI 1043220049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MA · RN124312

Definition

(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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 124312 (MA)

116 BELMONT ST, Worcester, MA 01605

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Other Identifiers 4

Medicare UPINS85048MA

OtherNP1913MA · Bcbs

Medicaid0715930MA

Medicare PINNP191302MA

Other Providers at the Same Location NPPES 14

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

KATHERINE S UPCHURCH M.D.

Internal Medicine (Rheumatology)

116 BELMONT ST, RHEUMATOLOGY
WORCESTER, MA 01605

Worcester County (508) 334-6273

MARK A AVERSA MD

Obstetrics & Gynecology

116 BELMONT ST
WORCESTER, MA 01605

Worcester County (508) 791-4300

DAVID L. DYKHUIZEN, M.D., P.C.

Specialist

116 BELMONT ST
WORCESTER, MA 01605

Worcester County (508) 752-7470

KERRY A WILLEY NP

Nurse Practitioner (Family)

116 BELMONT ST, SUITE 12
WORCESTER, MA 01605

Worcester County (508) 770-1602

MARK A. AVERSA MD PC

Obstetrics & Gynecology

116 BELMONT ST
WORCESTER, MA 01605

Worcester County (508) 791-4300

DR. RICHARD H WHITTEN M.D.

Surgery (Vascular Surgery)

116 BELMONT ST
WORCESTER, MA 01605

Worcester County (508) 754-7018

MARY K. FLYNN M.D.

Family Medicine

116 BELMONT ST, SUITE 11
WORCESTER, MA 01605

Worcester County (508) 334-1102

YUYAO WANG MD

Internal Medicine

116 BELMONT ST
WORCESTER, MA 01605

Worcester County (508) 762-4480

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 Mary Sullivan's NPI number?

The NPI number for Mary Sullivan is 1043220049. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Mary Sullivan located?

Mary Sullivan practices at 116 Belmont St Suite 11, Worcester, MA 01605. The listed phone number is (508) 334-1102.

What is Mary Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Sullivan was last updated on February 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.