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SANDRA N SULLIVAN
NPI 1750235503
Licensed Practical Nurse in Omaha, NE

Active since February 26, 2026
4102 WOOLWORTH AVE, OMAHA, NE 68105(402) 999-8506(612) 725-1311 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sandra N Sullivan NPPES

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

SANDRA N SULLIVAN (NPI 1750235503) is an individual licensed practical nurse in Omaha, Nebraska, licensed in Nebraska (22219) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1750235503
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSANDRA N SULLIVAN
Location Address4102 WOOLWORTH AVEOmaha, NE 68105-1851
Mailing Address11336 Raleigh DrOmaha, NE 68164-2257 · (402) 999-8506
Phone(402) 999-8506
Fax(612) 725-1311
Sole ProprietorNo
Enumeration DateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1750235503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NE · 22219
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4102 WOOLWORTH AVE, Omaha, NE 68105
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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.

DOUGLAS COUNTY NEBRASKA
Psychiatric Hospital
4102 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 444-7608
MICHAELLE VEGA-HERNANDEZ
Peer Specialist
4102 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 444-5200
MS. JESSICA LYNN SMEAL LMHP, LADC
Counselor (Mental Health)
4102 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 444-7931
HEIDI MICHELLE BERTHELSEN
Speech-Language Pathologist
4102 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 444-7000
DANIEL T WILLIAMS
Hearing Instrument Specialist
4102 WOOLWORTH AVE, SUITE 100
OMAHA, NE 68105
Douglas County (402) 444-1696
LAURA PATRICIA SWANSON MSW
Counselor
4102 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 444-7000
CYNTHIA WATSON
Case Manager/Care Coordinator
4102 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 444-7000
RAMONA MARGARET ZEPHIER PAC
Physician Assistant (Medical)
4102 WOOLWORTH AVE
OMAHA, NE 68105
Douglas County (402) 444-7540

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 Sandra Sullivan's NPI number?

The NPI number for Sandra Sullivan is 1750235503. It was assigned to this individual provider in the NPPES registry on February 26, 2026.

Where is Sandra Sullivan located?

Sandra Sullivan practices at 4102 Woolworth Ave, Omaha, NE 68105. The listed phone number is (402) 999-8506.

What is Sandra Sullivan's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Sandra Sullivan was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.