KIMBERLY ANN SULLIVAN NP
NPI 1972255537
Nurse Practitioner - Family in Wallkill, NY

Q: What is Kimberly Sullivan's NPI number?

The NPI number for Kimberly Sullivan is 1972255537. It was assigned to this individual provider in the NPPES registry on January 24, 2022.

Q: What is Kimberly Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Sullivan was last updated on January 24, 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 January 24, 2022

82 LONG LN, WALLKILL, NY 12589(845) 742-1979 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberly Ann Sullivan Np NPPES

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

KIMBERLY ANN SULLIVAN NP (NPI 1972255537) is an individual family provider in Wallkill, New York, licensed in New York (349160) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1972255537

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY ANN SULLIVANCredential: NP

Location Address82 LONG LNWallkill, NY 12589-3514

Mailing Address82 Long LnWallkill, NY 12589-3514 · (845) 742-1979

Phone(845) 742-1979

Sole ProprietorYes

Enumeration DateJanuary 24, 2022

NPPES CertifiedJanuary 24, 2022

✔ NPI 1972255537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 349160

82 LONG LN, Wallkill, NY 12589

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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 Kimberly Sullivan's NPI number?

The NPI number for Kimberly Sullivan is 1972255537. It was assigned to this individual provider in the NPPES registry on January 24, 2022.

Where is Kimberly Sullivan located?

Kimberly Sullivan practices at 82 Long Ln, Wallkill, NY 12589. The listed phone number is (845) 742-1979.

What is Kimberly Sullivan's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberly Sullivan was last updated on January 24, 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.