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

Kathryn Elizabeth Sullivan

Individual provider Physician Assistant · NPI 1518758689

Kathryn Elizabeth Sullivan is a Physician Assistant in Boulder, Colorado. Qualified in 2025, 1 year ago. Practices with Bouldercentre for Orthopedics PC, a 56-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025

Practice location Address checks out

5556 Spine Rd Unit 305
Boulder, CO 80301-3585
Phone: (401) 258-4381
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1518758689
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 16, 2025
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Bouldercentre For Orthopedics Pc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Boulder