Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLY MARY SULLIVAN
NPI 1841112166
Nurse Practitioner in Beverly, MA

Q: What is Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1841112166. It was assigned to this individual provider in the NPPES registry on July 28, 2026.

Q: What is Kelly Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Sullivan was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.

Active since July 28, 2026

195 DODGE ST, BEVERLY, MA 01915(978) 578-8768 Get Directions Write a Review

NPPES record added: August 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelly Mary Sullivan NPPES

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

KELLY MARY SULLIVAN (NPI 1841112166) is an individual nurse practitioner in Beverly, Massachusetts, licensed in Massachusetts (RN2348656) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1841112166

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLY MARY SULLIVAN

Location Address195 DODGE STBeverly, MA 01915-1244

Mailing Address195 Dodge StBeverly, MA 01915-1244 · (978) 578-8768

Phone(978) 578-8768

Sole ProprietorYes

Enumeration DateJuly 28, 2026

Last NPPES UpdateAugust 2, 2026

NPPES CertifiedAugust 2, 2026

✔ NPI 1841112166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MA · RN2348656

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License RN2348656 (MA)

195 DODGE ST, Beverly, MA 01915

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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 Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1841112166. It was assigned to this individual provider in the NPPES registry on July 28, 2026.

Where is Kelly Sullivan located?

Kelly Sullivan practices at 195 Dodge St, Beverly, MA 01915. The listed phone number is (978) 578-8768.

What is Kelly Sullivan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kelly Sullivan was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.