Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyse Marie Sullivan, NP

Individual provider Nurse Practitioner · NPI 1811777105

Alyse Marie Sullivan, NP is a Nurse Practitioner in Antioch, Tennessee. Graduated from Vanderbilt University School of Medicine in 2023, 3 years ago. Practices with Community Medicine Foundation, an 11-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Trained at
Vanderbilt University School of Medicine
Licensed in
NC
In the registry since
2023
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

950 Brittany Park Dr Apt 423
Antioch, TN 37013-5065
Phone: (530) 848-2648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Clinical Nurse Specialist (primary) Taxonomy 364SW0102X · Licence SULL-MEKDS (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5022149 (NC)

Record details

NPI number1811777105
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 3, 2023
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Community Medicine Foundation — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Antioch