DIANE J. SULLIVAN PTA – NPI #1225224983
Technician, Other

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

DIANE SULLIVAN is a technician located in KILMARNOCK, VA. NPPES has assigned the NPI number 1225224983 to DIANE SULLIVAN on September 17, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 247200000X from the Health Care Provider Taxonomy code set, which is classified as Technician, Other.

The NPI profile was previously updated about 19 years ago on Nov 19, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIANE SULLIVAN below.

NPI Profile for
DIANE J. SULLIVAN

NPI Number
1225224983
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
DIANE J. SULLIVAN
Credentials
PTA
Primary location
500 IRVINGTON ROAD
KILMARNOCK, VA 22482
Phone: (804) 435-3435 Fax: (804) 435-3682
Mailing address
PO BOX 128
KILMARNOCK, VA 22482-0128
Phone: (804) 435-3435 Fax: (804) 435-3682
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for DIANE SULLIVAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBC PROVIDER IDVA194072
OTHERMEDICAREVAC06278
OTHERSENTURAVA20091
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
247200000X
- Technician, Other (Primary)
VA 2306000138

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.