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MS. MARY E SULLIVAN NP
NPI 1053372110
Nurse Practitioner in Worcester, MA

Active since March 29, 2006
119 BELMONT ST, DEPARTMENT OF SURGERY, WORCESTER, MA 01605(508) 334-5597(508) 334-5089 Get Directions Write a Review

NPPES record last updated: April 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary E Sullivan Np NPPES

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

MS. MARY E SULLIVAN NP (NPI 1053372110) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (132867) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1053372110
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. MARY E SULLIVANCredential: NP
Location Address119 BELMONT ST, DEPARTMENT OF SURGERYWorcester, MA 01605-2903
Mailing AddressPo Box 415348Boston, MA 02241-0001 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 334-5597
Fax(508) 334-5089
Sole ProprietorNo
Enumeration DateMarch 29, 2006
Last NPPES UpdateApril 15, 2011
✔ NPI 1053372110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · 132867
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.
119 BELMONT ST, Worcester, MA 01605
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Other Names 1

Former Name (1)Ms. Mary E Ryan Np

Other Identifiers 3

Medicaid0348431MA
Medicare UPINP21947MA
Medicare PINNP303401MA

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.

DR. PANKAJ ANIL KSHEERSAGAR M.B.B.S.,M.D
Family Medicine
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-5571
JASON D YANG
Internal Medicine (Rheumatology)
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-5224
SANDRA BELLINI N.P.
Nurse Practitioner (Neonatal, Critical Care)
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-6470
BENJAMIN D. HAMAR MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-0550
WALTER J ZAWACKI NP
Nurse Practitioner
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-8934
CARYN SULLIVAN LCSW
Social Worker
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
WAYNE WAYFU CHAN M.D.
Orthopaedic Surgery
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-9750
NICHOLAS PAICOS PA STUDENT
Physician Assistant
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-8515

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 1053372110. It was assigned to this individual provider in the NPPES registry on March 29, 2006. The provider is also known as Ms. Mary E Ryan Np.

Where is Mary Sullivan located?

Mary Sullivan practices at 119 Belmont St Department Of Surgery, Worcester, MA 01605. The listed phone number is (508) 334-5597.

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 April 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.