BARBARA ANN GRACE SULLIVAN, PhD Aprn — NPI 1851494991 (Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) in NEW LONDON, CT)

CMS-1500 Box 24J / 33a • NPI

1851494991

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WP0200X

Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)

Box 32 Service Location & ZIP+4

7 VAUXHALL ST, CHILD & FAMILY AGENCY OF SOUTHEASTERN CT INC, NEW LONDON, CT, 06320

Official NPPES Practice Location

Practice Phone & Referral Fax

(860) 442-2797

Fax: (860) 701-3776

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1851494991 (BARBARA ANN GRACE SULLIVAN, PhD Aprn) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1851494991` (NPI-1 Individual Practitioner)
Provider / Legal Name	BARBARA ANN GRACE SULLIVAN, PhD Aprn
Plain-English Specialty	Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: `163WP0200X` (Registered Nurse, Pediatrics)
Certifying / Licensing Body	American Board of Pediatrics (ABP)
Practice Location Address	7 VAUXHALL ST, CHILD & FAMILY AGENCY OF SOUTHEASTERN CT INC, NEW LONDON, CT, 06320
Practice Telephone / Fax	Tel: (860) 442-2797 \| Fax: (860) 701-3776
Administrative Mailing Address	33 OLD KINGS HIGHWAY, HAMPTON, CT, 06247
Enumeration & Last Sync	Enumerated: 2006-09-06 \| CMS Record Updated: 2025-09-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

7 VAUXHALL ST, CHILD & FAMILY AGENCY OF SOUTHEASTERN CT INC, NEW LONDON, CT, 06320

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Plain-English Taxonomy & CMS Crosswalk (163WP0200X)

What Does Taxonomy Code 163WP0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WP0200X translates to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: American Board of Pediatrics (ABP)
Clinical Scope: Newborn jaundice screening, routine childhood vaccinations, developmental milestones, pediatric fevers, ear infections, asthma, or acute gastroenteritis.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BARBARA ANN GRACE SULLIVAN, PhD Aprn)

Typical CPT / Diagnostic Procedures:

Comprehensive Well-Child Developmental & Growth Visits (CPT 99381–99394)
Childhood Immunization Administration (Rotavirus, MMR, DTaP, HPV, PCV)
Neonatal Bilirubin & Jaundice Transcutaneous/Serum Screening
Rapid Streptococcal, RSV & Influenza Point-of-Care Diagnostics
Pediatric Asthma Nebulization & Spirometry Evaluation

Common Therapeutic Classes:

Amoxicillin / Amoxicillin-Clavulanate (Pediatric Otitis Media & Sinusitis)
WHO Low-Osmolarity Oral Rehydration Salts (ORS) & Zinc Sulfate
Albuterol Sulfate Inhalers & Fluticasone Pediatric Inhalers
Weight-Based Acetaminophen & Ibuprofen Antipyretic Suspensions

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163W00000X` — Registered Nurse Plain English: Licensed & Credentialed Registered Nurse	State: CT \| License: `R42162` \| Primary: Secondary
`163WP0200X` — Registered Nurse, Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: CT \| License: `000924` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BARBARA ANN GRACE SULLIVAN, PhD Aprn (NPI #1851494991)