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KELLY SULLIVAN
NPI 1154590651
Nurse Practitioner - Family in Bridgeport, CT

Active since February 28, 2008
275 GEORGE ST, BRIDGEPORT, CT 06604(203) 576-8462 Get Directions Write a Review

NPPES record last updated: February 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Sullivan NPPES

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

KELLY SULLIVAN (NPI 1154590651) is an individual family provider in Bridgeport, Connecticut, licensed in Connecticut (002446) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1154590651
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY SULLIVAN
Location Address275 GEORGE STBridgeport, CT 06604-3320
Mailing Address6 Fox RunWilton, CT 06897-1110 · (203) 576-8461 · Fax (203) 332-5641
Phone(203) 576-8462
Sole ProprietorYes
Enumeration DateFebruary 28, 2008
✔ NPI 1154590651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 002446
275 GEORGE ST, Bridgeport, CT 06604
Open in Google Maps ↗

Other Identifiers 1

Other002446CT · License

Other Providers at the Same Location NPPES

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

CITY OF BRIDGEPORT HEALTH DEPT. SCHOOL BASED HEALTH CENTERS
Clinic/Center (Health Service)
275 GEORGE ST
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 576-8461

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 Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1154590651. It was assigned to this individual provider in the NPPES registry on February 28, 2008.

Where is Kelly Sullivan located?

Kelly Sullivan practices at 275 George St, Bridgeport, CT 06604. The listed phone number is (203) 576-8462.

What is Kelly Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelly Sullivan was last updated on February 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.