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KERI RENEE SULLIVAN
NPI 1083586473
Student in an Organized Health Care Education/Training Program in Richmond, CA

Active since September 23, 2025
165 22ND ST, RICHMOND, CA 94801(510) 233-2141 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keri Renee Sullivan NPPES

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

KERI RENEE SULLIVAN (NPI 1083586473) is an individual student in an organized health care education/training program in Richmond, California and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1083586473
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKERI RENEE SULLIVAN
Location Address165 22ND STRichmond, CA 94801-3203
Mailing Address107 Santa Fe AveRichmond, CA 94801-3927 · (415) 939-6247
Phone(510) 233-2141
Sole ProprietorYes
Enumeration DateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1083586473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
165 22ND ST, Richmond, CA 94801
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Other Providers at the Same Location NPPES 6

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

EJON L FELDER MFT
Marriage & Family Therapist
165 22ND ST
RICHMOND, CA 94801
Contra Costa County (408) 835-6474
MR. KIAN JOSHUA CHANOWITZ
Psychologist
165 22ND ST
RICHMOND, CA 94801
Contra Costa County (408) 835-6474
JASMINE ELIZABETH GINEZ VASQUEZ
Case Manager/Care Coordinator
165 22ND ST
RICHMOND, CA 94801
Contra Costa County (408) 835-6474
MEGAN I. SHINKLE
Case Manager/Care Coordinator
165 22ND ST
RICHMOND, CA 94801
Contra Costa County (408) 835-6474
REBECA E MARTINEZ
Student in an Organized Health Care Education/Training Program
165 22ND ST
RICHMOND, CA 94801
Contra Costa County (510) 233-2141
MICHELLE N/A MOLINA
Student in an Organized Health Care Education/Training Program
165 22ND ST
RICHMOND, CA 94801
Contra Costa County (510) 233-2141

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 Keri Sullivan's NPI number?

The NPI number for Keri Sullivan is 1083586473. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Keri Sullivan located?

Keri Sullivan practices at 165 22nd St, Richmond, CA 94801. The listed phone number is (510) 233-2141.

What is Keri Sullivan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Keri Sullivan was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.