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

Kevin John Sullivan, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1245538669

Kevin John Sullivan, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Tamuning, Guam. Qualified in 2010, 16 years ago. Practices with Office Anesthesia Staffing, a 59-clinician group and accepts Medicare assignment. Licensed in Florida, Guam and Nevada.

Years since qualifying
16
Licensed in
FL, GU, NV
In the registry since
2011
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

280 Pale San Vitores Rd
Tamuning, GU 96913-3615
Phone: (671) 647-4542

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence NP0152 (GU)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence CRNA000407 (NV)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence ARNP9237910 (FL)

Record details

NPI number1245538669
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 9, 2011
Last updated in NPPESMarch 12, 2020
Certification dateMarch 12, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Office Anesthesia Staffing — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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