DR. KELLY INGRID SULLIVAN MD
NPI 1043492291
Pediatrics in College Station, TX

Q: What is Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1043492291. It was assigned to this individual provider in the NPPES registry on November 29, 2007. The provider is also known as Kelly Ingrid Machen.

Q: What is Kelly Sullivan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Sullivan was last updated on May 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 November 29, 2007

1602 ROCK PRAIRIE RD, SUITE 340, COLLEGE STATION, TX 77845(979) 696-4440(979) 696-7812 Get Directions Write a Review

NPPES record last updated: May 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kelly Ingrid Sullivan Md NPPES

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

DR. KELLY INGRID SULLIVAN MD (NPI 1043492291) is an individual pediatrics provider in College Station, Texas, licensed in Texas (N1166) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1043492291

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KELLY INGRID SULLIVANCredential: MD

Location Address1602 ROCK PRAIRIE RD, SUITE 340College Station, TX 77845-8306

Mailing Address1602 Rock Prairie Rd, Suite 340College Station, TX 77845-8306 · (979) 696-4440 · Fax (979) 696-7812

Phone(979) 696-4440

Fax(979) 696-7812

Sole ProprietorNo

Enumeration DateNovember 29, 2007

Last NPPES UpdateMay 21, 2010

✔ NPI 1043492291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · N1166

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1602 ROCK PRAIRIE RD, College Station, TX 77845

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Other Names 1

Former Name (1)Kelly Ingrid Machen

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Moda Health Plan, Inc..Insurance ›

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.

KENNETH E MATTHEWS MD

Pediatrics

1602 ROCK PRAIRIE RD, SUITE 340
COLLEGE STATION, TX 77845

Brazos County (979) 696-4440

DR. GARY LAMBERT MD

Family Medicine

1602 ROCK PRAIRIE RD, STE. 1100
COLLEGE STATION, TX 77845

Brazos County (979) 693-2586

JOSEPH JASON ROMAN MD

Internal Medicine

1602 ROCK PRAIRIE RD, SUITE 4880
COLLEGE STATION, TX 77845

Brazos County (979) 796-1111

DR. ANGELETTA L BROWN M.D.

Plastic Surgery

1602 ROCK PRAIRIE RD, SUITE #3300
COLLEGE STATION, TX 77845

Brazos County (979) 693-8100

JASON M. WEAVER, MD, PA

Dermatology

1602 ROCK PRAIRIE RD, SUITE 3400
COLLEGE STATION, TX 77845

Brazos County (409) 939-1618

DR. NATRAJ AIYAPPAN SHANMUGAM M.D.

Internal Medicine

1602 ROCK PRAIRIE RD, SUITE 210
COLLEGE STATION, TX 77845

Brazos County (979) 696-5663

REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC

Internal Medicine

1602 ROCK PRAIRIE RD, STE 460
COLLEGE STATION, TX 77845

Brazos County (979) 696-0267

AFFILIATES FOR WOMENS HEALTH PA

Obstetrics & Gynecology (Gynecology)

1602 ROCK PRAIRIE RD, SUITE 430
COLLEGE STATION, TX 77845

Brazos County (979) 693-0737

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 Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1043492291. It was assigned to this individual provider in the NPPES registry on November 29, 2007. The provider is also known as Kelly Ingrid Machen.

Where is Kelly Sullivan located?

Kelly Sullivan practices at 1602 Rock Prairie Rd Suite 340, College Station, TX 77845. The listed phone number is (979) 696-4440.

What is Kelly Sullivan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Kelly Sullivan accept?

Health plans from Baylor Scott and White Health Plan and Moda Health Plan, Inc. list Kelly Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Sullivan was last updated on May 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.