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

Kathleen M. Sullivan, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1306095955

Kathleen M. Sullivan, APRN is a Psychiatric/Mental Health Nurse Practitioner in Lago Vista, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in Connecticut and Rhode Island.

Licensed in
CT, RI
In the registry since
2008
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

20511 Sunset Ln
Lago Vista, TX 78645-6245
Phone: (860) 460-1211
Fax: (860) 760-6113
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 95 Sockanosset Cross Rd Ste 305, Cranston, RI 02920-5559 — (401) 946-6400

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence NPP37789 (RI)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 3862 (CT)

Record details

NPI number1306095955
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedSeptember 18, 2008
Last updated in NPPESMay 19, 2026
Certification dateMay 19, 2026