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DANA R SULLIVAN MSN, RN, CPNP-PC
NPI 1689124109
Nurse Practitioner - Pediatrics in Providence, RI

Active since October 07, 2016
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-6680 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 20, 2017 (3 updates tracked since 2017).

About Dana R Sullivan Msn, Rn, Cpnp-pc NPPES

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

DANA R SULLIVAN MSN, RN, CPNP-PC (NPI 1689124109) is an individual pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (APRN01627) and active in the NPI registry since October 2016. She maintains a secondary practice location in Wayland.

NPPES Registry Identity

NPI1689124109
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameDANA R SULLIVANCredential: MSN, RN, CPNP-PC
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address125 Whipple StProvidence, RI 02908-3258 · (401) 854-2504
Phone(401) 444-6680
Sole ProprietorNo
Enumeration DateOctober 7, 2016
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1689124109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in RI · APRN01627✔ Licensed in MA · 20162082
Also ListedRegistered NurseTaxonomy 163W00000X · License 1170573 (MA)
593 EDDY ST, Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Location 1

Location 1152 Oxbow RdWayland, MA 01778-1028 · Phone (508) 397-7181

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.

DR. CHANDAN LAKHIANI MD
Pediatrics
593 EDDY ST, HASBRO LL
PROVIDENCE, RI 02903
Providence County (401) 444-4691
RACHEL ALLISON ALTURA MD
Pediatrics (Pediatric Hematology-Oncology)
593 EDDY ST, HASBRO LL
PROVIDENCE, RI 02903
Providence County (401) 444-5241
MOHAMMED FAIZAN M.D.
Pediatrics (Pediatric Nephrology)
593 EDDY ST, HASBRO 122
PROVIDENCE, RI 02903
Providence County (401) 444-6195
DR. SUSAN L. PLANTE PHARM.D.
Pharmacist (Pharmacotherapy)
593 EDDY ST, PHARMACY SERVICES
PROVIDENCE, RI 02903
Providence County (401) 444-9075
ZHANHONG MI CNP
Nurse Practitioner
593 EDDY ST, APC 456
PROVIDENCE, RI 02903
Providence County (401) 444-5545
KEITH B SUNDERLIN PAC
Physician Assistant
593 EDDY ST, APC 4
PROVIDENCE, RI 02903
Providence County (401) 444-4000
DR. MARK E. MATTINGLY M.D.
Internal Medicine
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-3985
MS. JO-ANN BERGERON POLSKY BS, MPH, RD
Nutritionist
593 EDDY ST, RHODE ISLAND HOSPITAL POB 334
PROVIDENCE, RI 02903
Providence County (401) 444-4422

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's NPI number?

The NPI number for Dana Sullivan is 1689124109. It was assigned to this individual provider in the NPPES registry on October 7, 2016.

Where is Dana Sullivan located?

Dana Sullivan practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-6680.

What is Dana Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Dana Sullivan was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.