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

Shamecka Sullivan, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1023840717

Shamecka Sullivan, PMHNP is a Nurse Practitioner in Fairdale, Kentucky. Qualified in 2023, 3 years ago. Practices with Family Health Centers Inc, a 51-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
3
Licensed in
KY
In the registry since
2024
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

1000 Neighborhood Pl
Fairdale, KY 40118-9697
Phone: (502) 361-2381
Fax: (502) 996-8309
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4024554 (KY)

Record details

NPI number1023840717
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedAugust 20, 2024
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Family Health Centers Inc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount