Kristina Diane Sullivan, MS
Counselor in Fredericksburg, VA. Individual provider (NPI-1).
NPI number1124847686
StatusActive
Last updated in NPPESOct 10, 2024
Details
- NPI
- 1124847686
- Entity type
- Individual (NPI-1)
- Name
- Kristina Diane Sullivan
- Credential
- MS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 10, 2024
- Certification date
- Oct 10, 2024
- Last updated
- Oct 10, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 0704017318 | VA | Yes |
Practice location
450 Solomon DrFredericksburg, VA 22405-1313
Phone 540-402-1199
Mailing address
450 Solomon DrFredericksburg, VA 22405-1313
Phone 540-402-1199
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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