IndividualActive
Jean Sullivan, RDN, LD
NPI 1033428974 · Registered Dietitian · Bowie, TX
Provider details
- NPI number
- 1033428974
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN, LD
- Sex
- Female
- Sole proprietor
- Yes
- License
- DT05882 (TX)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1540 Rhodes Ln
Bowie, TX 76230-7730
Phone: (469) 307-2426
Fax: (469) 420-5044
Street-level locationGet directions
Mailing address
1540 Rhodes Ln
Bowie, TX 76230-7730
Registry dates
- Enumerated
- 2010-09-27
- Last updated
- 2022-08-03
- Certified
- 2022-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.