Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. ANNATA RAE SULLIVAN RN, APRN
NPI 1215904438
Nurse Practitioner - Family in Dyess, Afb, TX

Q: What is Annata Sullivan's NPI number?

The NPI number for Annata Sullivan is 1215904438. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Q: What is Annata Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Annata Sullivan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.

Active since March 07, 2006

697 LOUISIANA DR., DYESS, AFB, TX 79607(325) 696-3543 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Annata Rae Sullivan Rn, Aprn NPPES

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

MRS. ANNATA RAE SULLIVAN RN, APRN (NPI 1215904438) is an individual family provider in Dyess, Afb, Texas, licensed in Nebraska (110470) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1215904438

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. ANNATA RAE SULLIVANCredential: RN, APRN

Location Address697 LOUISIANA DR.Dyess, Afb, TX 79607-4425

Mailing Address2917 Stonecrest DrAbilene, TX 79606-3453 · (325) 691-5232

Phone(325) 696-3543

Sole ProprietorNo

Enumeration DateMarch 7, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1215904438 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 NE · 110470

697 LOUISIANA DR., Dyess, Afb, TX 79607

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Other Providers at the Same Location NPPES 3

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

DR. CYBELLE WALKER PHARM.D

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

697 LOUISIANA DR., 7 MDG
DYESS AFB, TX 79607

Taylor County (325) 696-3558

MR. MICHAEL S HAMIL IDMT

Military Health Care Provider (Independent Duty Medical Technicians)

697 LOUISIANA DR.
DYESS, AFB, TX 79607

Taylor County (325) 696-2335

DR. JONATHAN PAUL GORHAM PSY.D.

Psychologist (Clinical)

697 LOUISIANA DR.
DYESS AFB, TX 79607

Taylor County (325) 696-5380

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 Annata Sullivan's NPI number?

The NPI number for Annata Sullivan is 1215904438. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Annata Sullivan located?

Annata Sullivan practices at 697 Louisiana Dr., Dyess, Afb, TX 79607. The listed phone number is (325) 696-3543.

What is Annata 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 Annata Sullivan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.