Becky Sullivan, PA
NPI 1780051110 · Physician Assistant · Lexington, KY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1780051110
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA2056 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
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
Additional practice locations (6)
- 101 Windsor PathGeorgetown, KY 40324-9617Phone: (859) 263-5140Fax: (859) 263-5141
- 1868 Plaudit PlLexington, KY 40509-2429Phone: (859) 263-5140Fax: (859) 263-5141
- 3401 Yorkshire Medical ParkLexington, KY 40509-2513Phone: (859) 263-5140Fax: (859) 263-5141
- 145 Newcomb AveMount Vernon, KY 40456-2728Phone: (859) 263-5140Fax: (859) 263-5141
- 111 Cynthia Dr Ste 139Nicholasville, KY 40356-8062Phone: (859) 263-5140Fax: (859) 263-5141
- 850 Hail Knob Rd Ste BSomerset, KY 42503-3418Phone: (859) 263-5140Fax: (859) 263-5141
Registry dates
- Enumerated
- 2015-09-02
- Last updated
- 2020-12-01
- Certified
- 2020-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.