MR. STEPHEN D SULLIVAN RN
NPI 1063208593
Registered Nurse - Critical Care Medicine in Tacoma, WA

Active since April 21, 2025

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Stephen D Sullivan Rn NPPES

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

MR. STEPHEN D SULLIVAN RN (NPI 1063208593) is an individual critical care medicine provider in Tacoma, Washington, licensed in Washington (RN60082129) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1063208593
Entity TypeIndividual
Primary Taxonomy163WC0200X
Provider Legal NameMR. STEPHEN D SULLIVANCredential: RN
Location Address1717 S J STTacoma, WA 98405-4933
Mailing Address814 Eastside St Ne # BeOlympia, WA 98506-4032 · (360) 319-6359
Sole ProprietorNo
Enumeration DateApril 21, 2025
NPPES CertifiedApril 20, 2025
NPI 1063208593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License Licensed in WA · RN60082129
1717 S J ST, Tacoma, WA 98405

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.

Registered Nurse
1717 S J ST
TACOMA, WA 98405
Anesthesiology
1717 S J ST
TACOMA, WA 98405
Physician Assistant
1717 S J ST
TACOMA, WA 98405
Internal Medicine
1717 S J ST
TACOMA, WA 98405
Pharmacist
1717 S J ST
TACOMA, WA 98405
Registered Nurse (Obstetric, Inpatient)
1717 S J ST
TACOMA, WA 98405
Anesthesiology
1717 S J ST
TACOMA, WA 98405
Nurse Practitioner (Gerontology)
1717 S J ST
TACOMA, WA 98405

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 Stephen Sullivan's NPI number?

The NPI number for Stephen Sullivan is 1063208593. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Stephen Sullivan located?

Stephen Sullivan practices at 1717 S J St, Tacoma, WA 98405. The listed phone number is (253) 426-4100.

What is Stephen Sullivan's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

When was this NPI record last updated?

The NPPES record for Stephen Sullivan was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.