P Praxis·MD
● Active Type 1 · Individual

Julia B Sullivan, RD, LD, MPAS, PA-C

Physician Assistant·Fort Worth, TX· NPI 1477915064 · Enumerated 2016 · 10 years on NPI
Sullivan is 1 of 599 physician assistant providers in Fort Worth and 1 of 11022 in Texas.
NPI age
10 years
Enumerated 2016-03-23
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 11022 active physician assistant providers in Texas.

NPI age
10 years
≈ at median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-03Enumerated in NPPES
2016 2026

Where they practice

Practice location
1325 Pennsylvania Ave Ste 680
Fort Worth, TX 761042133
📞 8172504235
Mailing address
1325 Pennsylvania Ave Ste 680
Fort Worth, TX 761042133
📞 8172504235

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1935 Medical District Dr, Clinical Nutrition
Dallas, TX 752357701
📞 2144560314fax 2144566287

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    taxonomy 363A00000X
  • Dietitian, Registered
    An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill...
    TX license #DT83553 taxonomy 133VN1004X

Identifiers

TypeValueNotes
01 (TX) DT83553 LICENSED DIETITIAN
01 86048739 REGISTERED DIETITIAN

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

Recently enumerated nearby: 14 new physician assistant providers have been added in Fort Worth in the last 180 days. See all →
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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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