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MR. KERMIT C SULLIVAN III ATC
NPI 1124157185
Specialist/Technologist - Athletic Trainer in Nampa, ID

Active since March 05, 2007
1303 E GREENHURST RD, NAMPA, ID 83686(208) 468-7820 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kermit C Sullivan Iii Atc NPPES

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

MR. KERMIT C SULLIVAN III ATC (NPI 1124157185) is an individual athletic trainer provider in Nampa, Idaho, licensed in Idaho (AT-182) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1124157185
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. KERMIT C SULLIVAN IIICredential: ATC
Location Address1303 E GREENHURST RDNampa, ID 83686-7216
Mailing Address231 N Turtle Dove WayNampa, ID 83651-8363 · (208) 442-4354
Phone(208) 468-7820
Sole ProprietorYes
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1124157185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in ID · AT-182
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
1303 E GREENHURST RD, Nampa, ID 83686
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Other Providers at the Same Location NPPES

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

ERIN JEAN STRONG RN
Registered Nurse (School)
1303 E GREENHURST RD
NAMPA, ID 83686
Canyon County (208) 498-0561

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 Kermit Sullivan's NPI number?

The NPI number for Kermit Sullivan is 1124157185. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Kermit Sullivan located?

Kermit Sullivan practices at 1303 E Greenhurst Rd, Nampa, ID 83686. The listed phone number is (208) 468-7820.

What is Kermit Sullivan's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kermit Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.