1. Home
  2. Directory
  3. California
  4. Rancho Mission Viejo
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JENNIFER KELLY SULLIVAN
NPI 1336054238
Student in an Organized Health Care Education/Training Program in Rancho Mission Viejo, CA

Active since August 17, 2026
28881 AIROSO ST, RANCHO MISSION VIEJO, CA 92694(949) 304-1716 Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jennifer Kelly Sullivan NPPES

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

JENNIFER KELLY SULLIVAN (NPI 1336054238) is an individual student in an organized health care education/training program in Rancho Mission Viejo, California, licensed in California (95204976) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1336054238
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER KELLY SULLIVAN
Location Address28881 AIROSO STRancho Mission Viejo, CA 92694-2486
Mailing Address28881 Airoso StRancho Mission Viejo, CA 92694-2487 · (949) 304-1716
Phone(949) 304-1716
Sole ProprietorNo
Enumeration DateAugust 17, 2026
NPPES CertifiedAugust 16, 2026
✔ NPI 1336054238 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
License✔ Licensed in CA · 95204976
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.
28881 AIROSO ST, Rancho Mission Viejo, CA 92694
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

DR. YUQI K WANG MD
Radiology (Diagnostic Radiology)
28881 AIROSO ST
RANCHO MISSION VIEJO, CA 92694
Orange County (805) 456-6349

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 Jennifer Sullivan's NPI number?

The NPI number for Jennifer Sullivan is 1336054238. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Where is Jennifer Sullivan located?

Jennifer Sullivan practices at 28881 Airoso St, Rancho Mission Viejo, CA 92694. The listed phone number is (949) 304-1716.

What is Jennifer 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 Jennifer Sullivan was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.