IndividualActive
Kathy Sullivan, IDC
NPI 1508006149 · Independent Duty Corpsman · San Diego, CA
Kathy Sullivan, IDC is a Independent Duty Corpsman provider in San Diego, CA (NPI 1508006149).
Provider details
- NPI number
- 1508006149
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
83% 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
Msron Five Medical Department
Nolf Ib Building 169
San Diego, CA 92135
Phone: (619) 437-9382
Approximate (ZIP-level) locationGet directions
Mailing address
Msron Five Medical Department
San Diego, CA 92135
Registry dates
- Enumerated
- 2009-02-23
- Last updated
- 2009-02-23
Frequently asked questions
- What is Kathy Sullivan's NPI number?
- Kathy Sullivan's National Provider Identifier (NPI) is 1508006149, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kathy Sullivan's specialty?
- Kathy Sullivan is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Kathy Sullivan located?
- Kathy Sullivan's practice location on file with NPPES is Msron Five Medical Department, San Diego, CA 92135.
- What is Kathy Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Kathy Sullivan is (619) 437-9382.
- Is Kathy Sullivan's NPI active?
- Yes — Kathy Sullivan's NPI (1508006149) is active in the NPPES registry as of the last update on 2009-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.