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KATHLEEN LEA SULLIVAN APRN
NPI 1811204985
Nurse Practitioner - Family in Waterbury, CT

Active since September 09, 2010PECOS Enrolled
134 GRANDVIEW AVE, 208, WATERBURY, CT 06708(203) 755-3279(203) 755-3057 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kathleen Lea Sullivan Aprn NPPES

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

KATHLEEN LEA SULLIVAN APRN (NPI 1811204985) is an individual family provider in Waterbury, Connecticut, licensed in Connecticut (4478) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newtown, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1811204985
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN LEA SULLIVANCredential: APRN
Location Address134 GRANDVIEW AVE, 208Waterbury, CT 06708-2507
Mailing Address134 Grandview Ave Ste 208Waterbury, CT 06708-2507 · Fax (203) 755-3057
Phone(203) 755-3279
Fax(203) 755-3057
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 9, 2010
Last NPPES UpdateMay 21, 2026
NPPES CertifiedMay 21, 2026
✔ NPI 1811204985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 4478
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 004478 (CT)
134 GRANDVIEW AVE, Waterbury, CT 06708
Open in Google Maps ↗

Secondary Practice Location 1

Location 1123 S Main St Ste 110BNewtown, CT 06470-5313 · Phone (203) 628-6784

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen Lea Sullivan Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668659533
PECOS Enrollment IDI20110601000337
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

DR. DWIGHT M. ROST M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
134 GRANDVIEW AVE, SUITE 108
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 572-7266
DR. DAVID M. LOWELL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
134 GRANDVIEW AVE, SUITE 108
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-7364
DR. THOMAS P. ANDERSON M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
134 GRANDVIEW AVE, SUITE 108
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-6720
CONSULTING PATHOLOGISTS OF CONNECTICUT, P.C.
Pathology (Anatomic Pathology & Clinical Pathology)
134 GRANDVIEW AVE, SUITE 108
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-6270
ANTHONY R CARTER MD
Radiology (Diagnostic Radiology)
134 GRANDVIEW AVE, SUITE 101
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 756-8911
ROSS G UTTER PA
Physician Assistant (Medical)
134 GRANDVIEW AVE
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 756-8911
ANDREW J LAWSON MD
Radiology (Diagnostic Radiology)
134 GRANDVIEW AVE, STE 101
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 756-8911
DENISE PRATT APRN
Nurse Practitioner (Obstetrics & Gynecology)
134 GRANDVIEW AVE, SUITE 210
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 754-2535

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 Kathleen Sullivan's NPI number?

The NPI number for Kathleen Sullivan is 1811204985. It was assigned to this individual provider in the NPPES registry on September 9, 2010.

Where is Kathleen Sullivan located?

Kathleen Sullivan practices at 134 Grandview Ave 208, Waterbury, CT 06708. The listed phone number is (203) 755-3279.

What is Kathleen Sullivan's specialty?

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

Is Kathleen Sullivan enrolled in Medicare?

Yes. Kathleen Sullivan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathleen Sullivan was last updated on May 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.