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NPI 1497464671ActiveOrganization· Nurse Practitioner, Family· Coos Bay, OR
Nurse Practitioner, Family in Coos Bay, Oregon, registered in NPPES in November 2022. The authorized official on file is Heather Sullivan, Owner.
Overview
| NPI | 1497464671 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2022 |
| Last updated in NPPES | Nov 21, 2022 |
| Certified by provider | Nov 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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