JESSICA SULLIVAN
NPI 1891421186
Clinic/Center - Developmental Disabilities in Tampa, FL

Q: What is Jessica Sullivan's NPI number?

The NPI number for Jessica Sullivan is 1891421186. It was assigned to this individual provider in the NPPES registry on July 28, 2022.

Q: What is Jessica Sullivan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Sullivan was last updated on July 28, 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.

Active since July 28, 2022

4813 BRISTOL BAY WAY APT 302, TAMPA, FL 33619(813) 562-8475 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Jessica Sullivan NPPES

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

JESSICA SULLIVAN (NPI 1891421186) is an individual developmental disabilities provider in Tampa, Florida and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1891421186

Entity TypeIndividualFemale

Primary Taxonomy261QD1600X

Provider Legal NameJESSICA SULLIVAN

Location Address4813 BRISTOL BAY WAY APT 302Tampa, FL 33619-3662

Mailing Address4813 Bristol Bay Way Apt 302Tampa, FL 33619-3662 · (813) 562-8475

Phone(813) 562-8475

Sole ProprietorYes

Enumeration DateJuly 28, 2022

NPPES CertifiedJuly 28, 2022

✔ NPI 1891421186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

4813 BRISTOL BAY WAY APT 302, Tampa, FL 33619

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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 Jessica Sullivan's NPI number?

The NPI number for Jessica Sullivan is 1891421186. It was assigned to this individual provider in the NPPES registry on July 28, 2022.

Where is Jessica Sullivan located?

Jessica Sullivan practices at 4813 Bristol Bay Way Apt 302, Tampa, FL 33619. The listed phone number is (813) 562-8475.

What is Jessica Sullivan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Jessica Sullivan was last updated on July 28, 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.