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

Kelly S Sullivan, APRN

Individual provider Family Nurse Practitioner · NPI 1205348810

Kelly S Sullivan, APRN is a Nurse Practitioner in Hartford, Connecticut. Qualified in 2014, 12 years ago. Practices with Community Health Services Inc, a 28-clinician group. Licensed in Connecticut and Massachusetts.

Years since qualifying
12
Licensed in
CT, MA
In the registry since
2017
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.

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Practice location Address checks out

21 Grand St
Hartford, CT 06106-1541
Phone: (860) 550-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 6133 (CT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN276589 (MA)

Record details

NPI number1205348810
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedNovember 5, 2017
Last updated in NPPESNovember 5, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Community Health Services Inc — 28 clinicians
Accepts Medicare assignment Not indicated

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