IndividualActive
Rebecca Sullivan, CRNA
NPI 1083639421 · Registered Nurse · Charleston, WV
Rebecca Sullivan, CRNA is a Registered Nurse provider in Charleston, WV (NPI 1083639421).
Provider details
- NPI number
- 1083639421
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 35119 (WV)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
100 Peyton Way
Ste 200
Charleston, WV 25309-8767
Phone: (304) 720-8816
Fax: (904) 494-6467
Street-level locationGet directions
Mailing address
Po Box 3466
Charleston, WV 25334-3466
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2016-10-21
Frequently asked questions
- What is Rebecca Sullivan's NPI number?
- Rebecca Sullivan's National Provider Identifier (NPI) is 1083639421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rebecca Sullivan's specialty?
- Rebecca Sullivan is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Rebecca Sullivan located?
- Rebecca Sullivan's practice location on file with NPPES is 100 Peyton Way, Charleston, WV 25309-8767.
- What is Rebecca Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Rebecca Sullivan is (304) 720-8816.
- Is Rebecca Sullivan's NPI active?
- Yes — Rebecca Sullivan's NPI (1083639421) is active in the NPPES registry as of the last update on 2016-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.