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SIERRA LYNN SULLIVAN MD
NPI 1598402802
Student in an Organized Health Care Education/Training Program in Lubbock, TX

Active since May 18, 2022PECOS Enrolled
DEPARTMENT OF INTERNAL MEDICINE - 3601 4TH ST, LUBBOCK, TX 79430(623) 313-0601 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, May 18, 2022 (2 updates tracked since 2022).

About Sierra Lynn Sullivan Md NPPES

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

SIERRA LYNN SULLIVAN MD (NPI 1598402802) is an individual student in an organized health care education/training program in Lubbock, Texas and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598402802
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSIERRA LYNN SULLIVANCredential: MD
Location AddressDEPARTMENT OF INTERNAL MEDICINE - 3601 4TH STLubbock, TX 79430-0001
Mailing Address5323 Harry Hines Blvd Stop 7200Dallas, TX 75390-7200 · (214) 648-3433
Phone(623) 313-0601
Sole ProprietorNo
Enumeration DateMay 18, 2022
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
✔ NPI 1598402802 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.
DEPARTMENT OF INTERNAL MEDICINE - 3601 4TH ST, Lubbock, TX 79430
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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)

Sierra Lynn Sullivan Md 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.

Other Providers at the Same Location NPPES

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

JESUS DAVALOS MD
Student in an Organized Health Care Education/Training Program
DEPARTMENT OF INTERNAL MEDICINE - 3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 831-5869

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 Sierra Sullivan's NPI number?

The NPI number for Sierra Sullivan is 1598402802. It was assigned to this individual provider in the NPPES registry on May 18, 2022.

Where is Sierra Sullivan located?

Sierra Sullivan practices at Department Of Internal Medicine - 3601 4th St, Lubbock, TX 79430. The listed phone number is (623) 313-0601.

What is Sierra 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 Sierra Sullivan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sierra Sullivan was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.