RACHELL ALISSIA SULLIVAN NPI 1790311603

NPI Information

  • NPI: 1790311603
  • Provider Name: RACHELL ALISSIA SULLIVAN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8330 MEADOW RD STE 100
    DALLAS, TX
    ZIP 75231
  • Phone: (972) 646-8346

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NPI Details

Rachell Alissia Sullivan is a family nurse practitioner in Dallas, TX with 6 years of experience. Rachell Alissia Sullivan NPI is 1790311603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

8330 MEADOW RD STE 100
DALLAS, TX
ZIP 75231-313
Phone: (972) 646-8346

The NPI 1790311603 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of chemical agent into single incompetent vein of leg using ultrasound guidance (HCPCS:36465)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Injection of chemical agent into multiple incompetent veins of leg (HCPCS:36471)
  • Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance (HCPCS:36475)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Chemical destruction of first incompetent vein of arm or leg using imaging guidance (HCPCS:36482)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 3/23/2020 and was last updated on 12/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAP145381TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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