PATRICIA SULLIVAN RN
NPI 1043698459
Registered Nurse - General Practice in Santa Cruz, CA

Active since May 18, 2015
1400 EMELINE AVE, SANTA CRUZ, CA 95060(831) 454-4170(831) 454-4663 Get Directions Write a Review

NPPES record last updated: May 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Patricia Sullivan Rn NPPES

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

PATRICIA SULLIVAN RN (NPI 1043698459) is an individual general practice provider in Santa Cruz, California, licensed in California (RN 655241) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1043698459
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NamePATRICIA SULLIVANCredential: RN
Location Address1400 EMELINE AVESanta Cruz, CA 95060-1976
Mailing Address1400 Emeline AveSanta Cruz, CA 95060-1976 · (831) 454-4170 · Fax (831) 454-4663
Fax(831) 454-4663
Sole ProprietorNo
Enumeration DateMay 18, 2015
NPI 1043698459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License Licensed in CA · RN 655241
1400 EMELINE AVE, Santa Cruz, CA 95060

Other Identifiers 6

OtherFHC70042FCA · Santa Cruz County Medi-cal Site Provider#
OtherFHC70044FCA · Santa Cruz County Medi-cal Site Provider#
OtherZZZ91891ZCA · Santa Cruz County Medicare Group Ptan#
OtherRN 655241CA · Registered Nurse License#
OtherZZZ91892ZCA · Santa Cruz County Medicare Group Ptan#
OtherZZZ92069ZCA · Santa Cruz County Medicare Group Ptan#

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.

Technician, Health Information (Assistant Record Technician)
1400 EMELINE AVE
SANTA CRUZ, CA 95060
Physician Assistant (Medical)
1400 EMELINE AVE
SANTA CRUZ, CA 95060
Social Worker (Clinical)
1400 EMELINE AVE
SANTA CRUZ, CA 95060
Nurse's Aide
1400 EMELINE AVE
SANTA CRUZ, CA 95060
Social Worker (Clinical)
1400 EMELINE AVE
SANTA CRUZ, CA 95060
Counselor (Addiction (Substance Use Disorder))
1400 EMELINE AVE
SANTA CRUZ, CA 95060
Counselor (Mental Health)
1400 EMELINE AVE
SANTA CRUZ, CA 95060
Marriage & Family Therapist
1400 EMELINE AVE
SANTA CRUZ, CA 95060

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 Patricia Sullivan's NPI number?

The NPI number for Patricia Sullivan is 1043698459. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Where is Patricia Sullivan located?

Patricia Sullivan practices at 1400 Emeline Ave, Santa Cruz, CA 95060. The listed phone number is (831) 454-4170.

What is Patricia Sullivan's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Patricia Sullivan was last updated on May 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.