KEVIN D SULLIVAN
NPI 1366236440
Student in an Organized Health Care Education/Training Program in Overland Park, KS

Q: What is Kevin Sullivan's NPI number?

The NPI number for Kevin Sullivan is 1366236440. It was assigned to this individual provider in the NPPES registry on April 5, 2025.

Q: What is Kevin Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Sullivan was last updated on April 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since April 05, 2025PECOS Enrolled

15809 MAPLE ST, OVERLAND PARK, KS 66223(316) 993-8972 Get Directions Write a Review

NPPES record last updated: April 5, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kevin D Sullivan NPPES

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

KEVIN D SULLIVAN (NPI 1366236440) is an individual student in an organized health care education/training program in Overland Park, Kansas and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366236440

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKEVIN D SULLIVAN

Location Address15809 MAPLE STOverland Park, KS 66223-3558

Mailing Address15809 Maple StOverland Park, KS 66223-3558 · (316) 993-8972

Phone(316) 993-8972

Sole ProprietorYes

Enumeration DateApril 5, 2025

NPPES CertifiedApril 5, 2025

✔ NPI 1366236440 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.

15809 MAPLE ST, Overland Park, KS 66223

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin D Sullivan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Kevin Sullivan's NPI number?

The NPI number for Kevin Sullivan is 1366236440. It was assigned to this individual provider in the NPPES registry on April 5, 2025.

Where is Kevin Sullivan located?

Kevin Sullivan practices at 15809 Maple St, Overland Park, KS 66223. The listed phone number is (316) 993-8972.

What is Kevin Sullivan's specialty?

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

Is Kevin Sullivan enrolled in Medicare?

Yes. Kevin Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Sullivan was last updated on April 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.