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BEVIN ANNE SULLIVAN AGACNP
NPI 1619734183
Nurse Practitioner - Family in Stanten Island, NY

Active since March 01, 2024
31 TIOGA STREET, GROUND FLOOR, STANTEN ISLAND, NY 10301(718) 450-0172 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2024, Aug 2, 2024, Jun 25, 2024 (3 updates tracked since 2024).

About Bevin Anne Sullivan Agacnp NPPES

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

BEVIN ANNE SULLIVAN AGACNP (NPI 1619734183) is an individual family provider in Stanten Island, New York, licensed in New York (432876) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1619734183
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBEVIN ANNE SULLIVANCredential: AGACNP
Location Address31 TIOGA STREET, GROUND FLOORStanten Island, NY 10301-4352
Mailing Address31 Tioga Street, Ground FloorStanten Island, NY 10301-4352
Phone(718) 450-0172
Sole ProprietorYes
Enumeration DateMarch 1, 2024
Last NPPES UpdateSeptember 24, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1619734183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 432876
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 432876 (NY)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 432876 (NY)
31 TIOGA STREET, Stanten Island, NY 10301
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

BHEALTHYRN LLC
Clinic/Center (Primary Care)
31 TIOGA STREET, GROUND FLOOR
STATEN ISLAND, NY 10301
Richmond County (718) 450-0172

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 Bevin Sullivan's NPI number?

The NPI number for Bevin Sullivan is 1619734183. It was assigned to this individual provider in the NPPES registry on March 1, 2024.

Where is Bevin Sullivan located?

Bevin Sullivan practices at 31 Tioga Street Ground Floor, Stanten Island, NY 10301. The listed phone number is (718) 450-0172.

What is Bevin Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bevin Sullivan was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.