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

Kelly Sullivan, CACIII, QMAP, BA

Individual provider Driver · NPI 1093141178

Kelly Sullivan, CACIII, QMAP, BA is a Driver in Fort Collins, Colorado. Licensed in Colorado. Registered with an NPI since 2013.

Licensed in
CO
In the registry since
2013
Specialties on file
2
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

4856 Innovation Dr
Fort Collins, CO 80525-5539
Phone: (970) 494-4200
Fax: (844) 270-1824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence ACC.0006756 (CO)
Driver Taxonomy 172A00000X

Record details

NPI number1093141178
Entity typeIndividual (Type 1)
GenderFemale
Credentials CACIII , QMAP , BA
Sole proprietorNo
NPI enumeratedSeptember 19, 2013
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025

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