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Sandra N Sullivan

Licensed Practical Nurse • Omaha, NE

Active NPI 1750235503 Individual Practitioner Female Practitioner
Practice location in NPPES

4102 Woolworth Ave
Omaha, NE 681051851

Call 4029998506 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4102 Woolworth Ave

Omaha, NE 681051851

Telephone 4029998506
Fax 6127251311
Organization at the Same NPPES Address or Phone
Douglas County Nebraska Facility NPI 1023019718

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Omaha and Nebraska

186 active clinicians are listed under Licensed Practical Nurse with a practice address in Omaha, NE (568 in Nebraska).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Omaha

0% of these 186 clinicians have the CMS telehealth indicator.

0% of these 186 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-26
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES NE 22219

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nebraska State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Michael Amenta , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1225511223

Advanced Practice Registered Nurse

Dr. Marin Broucek , MD

Psychiatry & Neurology - Psychiatry

NPI 1588942262

Doctor of Medicine (M.D.)

Cassie Cowles , APRN, ACNP

Nurse Practitioner - Acute Care

NPI 1962658419

Advanced Practice Registered Nurse, ACNP

Rachel Kozol , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1164567749

Advanced Practice Registered Nurse

Jamie Staab-Peters , APRN

Nurse Practitioner

NPI 1740504810

Advanced Practice Registered Nurse

Ramona Zephier , PA-C

Physician Assistant - Medical

NPI 1124325550

Physician Assistant (Certified)

Career & Practice History

NPI enumerated February 26, 2026.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from March 2026 to August 2026.

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NPI Administrative Meta

NPI Number: 1750235503
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2026
Last Update: February 26, 2026
Sole Proprietor: No

Mailing Address

11336 Raleigh Dr

Omaha, NE 681642257

Phone: 4029998506

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.