CAMILLE SULLIVAN PHD
NPI 1720737034
Student in an Organized Health Care Education/Training Program in San Francisco, CA
About Camille Sullivan Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAMILLE SULLIVAN PHD (NPI 1720737034) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Camille Sullivan Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
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 Camille Sullivan's NPI number?
The NPI number for Camille Sullivan is 1720737034. It was assigned to this individual provider in the NPPES registry on March 22, 2022.
Where is Camille Sullivan located?
Camille Sullivan practices at 500 Parnassus Ave Mu 320 West, San Francisco, CA 94143. The listed phone number is (415) 476-6548.
What is Camille 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 Camille Sullivan enrolled in Medicare?
Yes. Camille Sullivan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Camille Sullivan was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Camille Sullivan, PHD · NPI 1720737034
Student in an Organized Health Care Education/Training Program provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since March 22, 2022.
## Identity
- **NPI:** 1720737034 (Entity type: Individual)
- **Enumerated:** March 22, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 500 PARNASSUS AVE, MU 320 WEST, San Francisco, CA 94143
- **Phone:** (415) 476-6548
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1720737034) · Data from the CMS NPPES public registry.