| Katie Michelle Sullivan, NP | |
|
8630 Fenton St Ste 1200, Silver Spring, MD 20910-3808 | |
| (240) 839-5811 | |
| (301) 495-0318 |
| Full Name | Katie Michelle Sullivan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 8630 Fenton St Ste 1200, Silver Spring, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558970251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R240224 (Maryland) | Primary |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Michelle Sullivan, NP 8630 Fenton St Ste 1204, Silver Spring, MD 20910-3808 Ph: (240) 839-5811 | Katie Michelle Sullivan, NP 8630 Fenton St Ste 1200, Silver Spring, MD 20910-3808 Ph: (240) 839-5811 |
Mariama Keita, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10801 Lockwood Dr Ste 160, Silver Spring, MD 20901 Phone: 301-298-1040 | |
Moriliat Olayinka Ajose, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8737 Colesville Rd Ste 700, Silver Spring, MD 20910 Phone: 240-296-5858 | |
Mrs. Kelly Ann Mercado, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10801 Lockwood Dr, Suite 200, Silver Spring, MD 20901 Phone: 301-593-2002 | |
Antonia Forbin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8500 New Hampshire Ave Apt 129, Silver Spring, MD 20903 Phone: 202-602-9803 | |
Ms. Deborah Ryan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Forest Glen Rd, Silver Spring, MD 20910 Phone: 240-364-2510 | |
Ms. Colleen Marie Healey, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Forest Glen Rd, Kaiser Permanente Holy Cross Hospital, Silver Spring, MD 20910 Phone: 301-905-3600 | |
Vera Ogembo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10801 Lockwood Dr, Suite 140, Silver Spring, MD 20901 Phone: 301-592-1780 Fax: 240-645-4013 |