P Praxis·MD
● Active Type 1 · Individual

Kathleen M. Sullivan, APRN

Nurse Practitioner·Lago Vista, TX· NPI 1306095955 · Enumerated 2008 · 17 years on NPI
Sullivan is 1 of 1 nurse practitioner providers in Lago Vista and 1 of 5095 in Texas.
NPI age
17 years
Enumerated 2008-09-18
Primary specialty
Nurse Practitioner
Licensed in
RI
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-09-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5095 active nurse practitioner providers in Texas.

NPI age
17 years
↑ 13 yr above median (4 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-09Enumerated in NPPES
2008 2026

Where they practice

Practice location
20511 Sunset Ln
Lago Vista, TX 786456245
📞 8604601211fax 8607606113
Mailing address
20511 Sunset Ln
Lago Vista, TX 786456245
📞 8604601211fax 8604601211

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    RI license #NPP37789 taxonomy 363LP0808X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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