Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700135910 Individual Practitioner Female Practitioner

Nancy Carla Sullivan , LPN

Licensed Practical Nurse • Racine, WI

Professional Overview & Biography Verified Profile Summary

Nancy Sullivan, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Racine, WI. Practice services are available at 2000 DOMANIK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2000 Domanik Dr

Racine, WI 534042910

Telephone 2626334800
Fax 2626335999

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Racine, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
42 Specialists

Practicing in Racine, WI (1775 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 WI 134413

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Kizzie Durgom , RN

Registered Nurse

NPI 1104175694

Registered Nurse

Kelley Cooper , RN

Registered Nurse - Home Health

NPI 1679917728

Registered Nurse

Derek Quella , RN

Registered Nurse

NPI 1821345455

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 04, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 04, 2012

Registered at 2000 DOMANIK DR, RACINE, WI 534042910 (Tel: 2626334800)

📍
Updated Business Mailing Address September 04, 2012

Registered at 2000 DOMANIK DR, RACINE, WI 534042910 (Tel: 2626334800)

👤
Provider Name / Credentials Updated September 04, 2012

Recorded as NANCY SULLIVAN, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2012

Licensed Practical Nurse (License #134413 in WI)

🟢
Initial NPI Registration & Enumeration September 04, 2012

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: 1700135910
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 04, 2012
Last Update: September 04, 2012
Sole Proprietor: No

Mailing Address

2000 Domanik Dr

Racine, WI 534042910

Phone: 2626334800

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.