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Deactivated NPI 1619150158 Deactivated / Inactive NPI Female Practitioner

Stephanie Sue Sullivan , LMT

Licensed Practical Nurse • Palm Beach Gardens, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stephanie Sullivan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 06, 2007
NPI Deactivation Date October 09, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Stephanie Sullivan, LMT was a registered Licensed Practical Nurse practicing in Palm Beach Gardens, FL. Throughout an active medical career spanning 18 years, Stephanie Sullivan provided care at the practice location at 5773 GOLDEN EAGLE CIR until profile deactivation on 2025-10-09.

Practice Location & Contact Primary Location

Practice Address

5773 Golden Eagle Cir

Palm Beach Gardens, FL 334181518

Telephone 5617072135
Fax 5616273686

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Palm Beach Gardens, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Palm Beach Gardens, FL (1995 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License FL PN874041

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 09, 2025

Record deactivated on October 09, 2025

NPI Profile Active December 06, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 06, 2007

Registered at 5773 GOLDEN EAGLE CIR, PALM BEACH GARDENS, FL 334181518 (Tel: 5617072135)

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Updated Business Mailing Address December 06, 2007

Registered at 5773 GOLDEN EAGLE CIR, PALM BEACH GARDENS, FL 334181518 (Tel: 5617072135)

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Provider Name / Credentials Updated December 06, 2007

Recorded as STEPHANIE SULLIVAN, LMT

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2007

Licensed Practical Nurse (License #PN874041 in FL)

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Initial NPI Registration & Enumeration December 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619150158
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2007
Last Update: December 06, 2007
Deactivation Date: October 09, 2025

Mailing Address

5773 Golden Eagle Cir

Palm Beach Gardens, FL 334181518

Phone: 5617072135

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.