Jacqueline Mary Sullivan
NPI 1740511104ActiveIndividual· Dietitian, Registered· Elkhorn, WI
Dietitian, Registered in Elkhorn, Wisconsin, with an NPI issued in January 2010.
Overview
| NPI | 1740511104 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 26, 2010 |
| Last updated in NPPES | Oct 8, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 685422 | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other Dietitian, Registered providers in Elkhorn
- 1689506255
- 1922748839
- 1710359351
- 1881202919
- 1194419804
- 1710435037
- 1598480527