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

Heather Sullivan, FNP

Individual provider Family Nurse Practitioner · NPI 1205383890

Heather Sullivan, FNP is a Nurse Practitioner in Medford, Oregon. Qualified in 2016, 10 years ago. Practices with La Clinica Del Valle Family Health Care Center Inc, a 61-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Alaska and Oregon.

Years since qualifying
10
Licensed in
AK, OR
In the registry since
2016
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3265 Hillcrest Park Dr
Medford, OR 97504-7657
Phone: (541) 275-6655
Fax: (541) 494-0945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 110 10th St Se, Bandon, OR 97411-9157 — (541) 347-2313
  • 910 S Central Ave, Medford, OR 97501-7854 — (541) 535-6239

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201607221NP-PP (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 117094 (AK)
Registered Nurse Taxonomy 163W00000X · Licence 200341475RN (OR)

Record details

NPI number1205383890
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 1, 2016
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address3265 Hillcrest Park Dr, Medford, OR 97504-7657

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice La Clinica Del Valle Family Health Care Center Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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