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ALICIA KIM SULLIVAN NP
NPI 1477158905
Nurse Practitioner in Edwardsville, IL

Active since December 02, 2020
441 S STATE ROUTE 157 STE 102, EDWARDSVILLE, IL 62025(618) 254-2273(618) 254-8476 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Alicia Kim Sullivan Np NPPES

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

ALICIA KIM SULLIVAN NP (NPI 1477158905) is an individual nurse practitioner in Edwardsville, Illinois, licensed in Illinois (2093022275) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1477158905
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALICIA KIM SULLIVANCredential: NP
Location Address441 S STATE ROUTE 157 STE 102Edwardsville, IL 62025-4017
Mailing Address441 S State Route 157 Ste 102Edwardsville, IL 62025-4017 · (618) 254-2273 · Fax (618) 254-8476
Phone(618) 254-2273
Fax(618) 254-8476
Sole ProprietorNo
Enumeration DateDecember 2, 2020
NPPES CertifiedDecember 2, 2020
✔ NPI 1477158905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 2093022275
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
441 S STATE ROUTE 157 STE 102, Edwardsville, IL 62025
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Other Providers at the Same Location NPPES 2

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

DR. BRENT LYERLY D.C.
Chiropractor
441 S STATE ROUTE 157 STE 102
EDWARDSVILLE, IL 62025
Madison County (618) 254-2273
ICAN CLINIC LLC
Clinic/Center (Multi-Specialty)
441 S STATE ROUTE 157 STE 102
EDWARDSVILLE, IL 62025
Madison County (618) 254-2273

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 Alicia Sullivan's NPI number?

The NPI number for Alicia Sullivan is 1477158905. It was assigned to this individual provider in the NPPES registry on December 2, 2020.

Where is Alicia Sullivan located?

Alicia Sullivan practices at 441 S State Route 157 Ste 102, Edwardsville, IL 62025. The listed phone number is (618) 254-2273.

What is Alicia Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Alicia Sullivan was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.