NPI age
4 years
Enumerated 2021-11-08
● Active
Type 1 · Individual
Sandra Sullivan
Sullivan is 1 of 3 technician providers in Boise and 1 of 21 in Idaho.
Primary specialty
Technician
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2021-11-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 21 active technician providers in Idaho.
NPI age
4 years
≈ at median (4 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-11Enumerated in NPPES
2021
2026
Where they practice
Practice location
6700 W Overland Rd
Boise, ID 837092032
Mailing address
6700 W Overland Rd
Boise, ID 837092032
Specialties
-
Technician PrimaryAn individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | A0000141 |
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.