What is Mary Sullivan's NPI number?

Mary Sullivan's National Provider Identifier (NPI) is 1043992738, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mary Sullivan's specialty?

Mary Sullivan is listed in the NPPES registry with a primary specialty of Nurse's Aide (Nursing Service Related Providers).

Where is Mary Sullivan located?

Mary Sullivan's practice location on file with NPPES is 112 Stallion Dr, Lake Waynoka, OH 45171-9814.

What is Mary Sullivan's phone number?

The practice phone number listed in the NPPES registry for Mary Sullivan is (937) 779-2182.

Is Mary Sullivan's NPI active?

Yes — Mary Sullivan's NPI (1043992738) is active in the NPPES registry as of the last update on 2023-08-02.

IndividualActive

Mary Sullivan, STNA

NPI 1043992738 · Nurse's Aide · Lake Waynoka, OH

Mary Sullivan, STNA is a Nurse's Aide provider in Lake Waynoka, OH (NPI 1043992738).

Provider details

NPI number: 1043992738
Entity type: Individual
Primary specialty: Nurse's AideNursing Service Related Providers
Credential: STNA
Sex: Female
Sole proprietor: Yes
License: 404196750719 (OH)

Specialties & taxonomies

Nurse's AidePrimary376K00000XLicense 404196750719 (OH)
Nursing Service Related Providers

Profile Score

Established profile(58/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 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

112 Stallion Dr

Lake Waynoka, OH 45171-9814

Phone: (937) 779-2182

Street-level locationGet directions

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Mailing address