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DANA ALEXANDRIA SULLIVAN-GREEN DO
NPI 1598407447
General Practice in Apo, AP

Active since April 11, 2022PECOS Enrolled

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 4, 2026, Apr 11, 2022 (2 updates tracked since 2022).

About Dana Alexandria Sullivan-green Do NPPES

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

DANA ALEXANDRIA SULLIVAN-GREEN DO (NPI 1598407447) is an individual general practice provider in Apo, AP, licensed in Arkansas (E-17201) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598407447
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDANA ALEXANDRIA SULLIVAN-GREENCredential: DO
Location AddressUNIT 2060Apo, AP 96278-2060
Mailing AddressUnit 2060Apo, AP 96278-2060
Phone(315) 784-4880
Sole ProprietorNo
Enumeration DateApril 11, 2022
Last NPPES UpdateJune 4, 20262 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1598407447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in AR · E-17201
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dana Alexandria Sullivan-green Do 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 20

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

DANNY HYUNGMIN KIM
Social Worker (Clinical)
UNIT 2060
APO, AP 96278
(505) 784-2148
DR. CHRISTOPHER JOSEPH PITOTTI MD
Emergency Medicine
UNIT 2060
APO, AP 96278
(315) 784-2500
KAITLIN KAYLA PABUSTAN VILORIA-ELLORIN PSYD
Psychologist (Clinical)
UNIT 2060
APO, AP 96278
(315) 784-2148
DR. DIANA MARIE KINNEY MD
Family Medicine
UNIT 2060
APO, AP 96278
(315) 784-2500
VANESSA J MOFFETT
Registered Nurse
UNIT 2060
APO, AP 96278
(347) 779-9824
MRS. AMY MARIE RAUCH LABOUNTY LCSWA
Social Worker
UNIT 2060
APO, AP 96278
(315) 784-8717
JONATHAN RASHAD HABERSHAM
Military Health Care Provider (Independent Duty Medical Technicians)
UNIT 2060
APO, AP 96278
(315) 784-8717
BENJAMIN PASS
Dentist
UNIT 2060
APO, AP 96278
(323) 522-5725

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 Dana Sullivan-green's NPI number?

The NPI number for Dana Sullivan-green is 1598407447. It was assigned to this individual provider in the NPPES registry on April 11, 2022.

Where is Dana Sullivan-green located?

Dana Sullivan-green practices at Unit 2060, Apo, AP 96278. The listed phone number is (315) 784-4880.

What is Dana Sullivan-green's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Dana Sullivan-green enrolled in Medicare?

Yes. Dana Sullivan-green is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dana Sullivan-green was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.