Kermit Sullivan, ATC
NPI 1124157185 · Athletic Trainer · Nampa, ID
Kermit Sullivan, ATC is a Athletic Trainer provider in Nampa, ID (NPI 1124157185).
Provider details
- NPI number
- 1124157185
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT-182 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kermit Sullivan's NPI number?
- Kermit Sullivan's National Provider Identifier (NPI) is 1124157185, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kermit Sullivan's specialty?
- Kermit Sullivan is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kermit Sullivan located?
- Kermit Sullivan's practice location on file with NPPES is 1303 E Greenhurst Rd, Nampa, ID 83686-7216.
- What is Kermit Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Kermit Sullivan is (208) 468-7820.
- Is Kermit Sullivan's NPI active?
- Yes — Kermit Sullivan's NPI (1124157185) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.