Sara Camille Sullivan, RN, LMT is a
Massage Therapist based in Lonoke, Arkansas. Sara Camille Sullivan is licensed to practice in Arkansas (license number 7055) and her current practice location is
20 Ponderosa Dr, Lonoke, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(501) 762-7951.
NPI number for Sara Camille Sullivan is 1831940634 and her current mailing address is 20 Ponderosa Dr, Lonoke, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831940634.
Provider's Profile
Full Name | Sara Camille Sullivan |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 20 Ponderosa Dr, Lonoke, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831940634
- Provider Enumeration Date: 03/29/2024
- Last Update Date: 03/29/2024
Medical Identifiers
Medical identifiers for Sara Camille Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831940634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | R88651 (Arkansas) | Secondary |
163W00000X | Registered Nurse | RN95310083 (California) | Secondary |
225700000X | Massage Therapist | 7055 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sara Camille Sullivan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sara Camille Sullivan, RN, LMT 20 Ponderosa Dr, Lonoke, AR 72086-3603 Ph: () - | Sara Camille Sullivan, RN, LMT 20 Ponderosa Dr, Lonoke, AR 72086-3603 Ph: (501) 762-7951 |
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