AMANDA SULLIVAN L.P.N.
NPI 1912291436
Licensed Practical Nurse in Liberty, NY

Q: What is Amanda Sullivan's NPI number?

The NPI number for Amanda Sullivan is 1912291436. It was assigned to this individual provider in the NPPES registry on June 1, 2011.

Q: What is Amanda Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Sullivan was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 June 01, 2011

364 LAKE MARIE RD, LIBERTY, NY 12754(845) 866-1667 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Amanda Sullivan L.p.n. NPPES

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

AMANDA SULLIVAN L.P.N. (NPI 1912291436) is an individual licensed practical nurse in Liberty, New York, licensed in New York (286438) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1912291436

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameAMANDA SULLIVANCredential: L.P.N.

Location Address364 LAKE MARIE RDLiberty, NY 12754-2924

Mailing Address364 Lake Marie RdLiberty, NY 12754-2924 · (845) 866-1667

Phone(845) 866-1667

Sole ProprietorYes

Enumeration DateJune 1, 2011

✔ NPI 1912291436 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 NY · 286438

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.

364 LAKE MARIE RD, Liberty, NY 12754

Open in Google Maps ↗

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 Amanda Sullivan's NPI number?

The NPI number for Amanda Sullivan is 1912291436. It was assigned to this individual provider in the NPPES registry on June 1, 2011.

Where is Amanda Sullivan located?

Amanda Sullivan practices at 364 Lake Marie Rd, Liberty, NY 12754. The listed phone number is (845) 866-1667.

What is Amanda 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 Amanda Sullivan was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.