MRS. KATHY REBECCA SULLIVAN IDC
NPI 1508006149
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Kathy Sullivan's NPI number?

The NPI number for Kathy Sullivan is 1508006149. It was assigned to this individual provider in the NPPES registry on February 23, 2009.

Q: What is Kathy Sullivan's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Kathy Sullivan was last updated on February 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since February 23, 2009

MSRON FIVE MEDICAL DEPARTMENT, NOLF IB BUILDING 169, SAN DIEGO, CA 92135(619) 437-9382 Get Directions Write a Review

NPPES record last updated: February 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Kathy Rebecca Sullivan Idc NPPES

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

MRS. KATHY REBECCA SULLIVAN IDC (NPI 1508006149) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1508006149

Entity TypeIndividualFemale

Primary Taxonomy1710I1002X

Provider Legal NameMRS. KATHY REBECCA SULLIVANCredential: IDC

Location AddressMSRON FIVE MEDICAL DEPARTMENT, NOLF IB BUILDING 169San Diego, CA 92135

Mailing AddressMsron Five Medical Department, Nolf Ib Building 169San Diego, CA 92135

Phone(619) 437-9382

Sole ProprietorNo

Enumeration DateFebruary 23, 2009

✔ NPI 1508006149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

MSRON FIVE MEDICAL DEPARTMENT, San Diego, CA 92135

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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 Kathy Sullivan's NPI number?

The NPI number for Kathy Sullivan is 1508006149. It was assigned to this individual provider in the NPPES registry on February 23, 2009.

Where is Kathy Sullivan located?

Kathy Sullivan practices at Msron Five Medical Department Nolf Ib Building 169, San Diego, CA 92135. The listed phone number is (619) 437-9382.

What is Kathy Sullivan's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Kathy Sullivan was last updated on February 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.