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

Shannon Sullivan, RN

Individual provider Prescribing (Medical) Psychologist · NPI 1922574920

Shannon Sullivan, RN is a Prescribing (Medical) Psychologist in Tracy, California. Licensed in Iowa. Registered with an NPI since 2018.

Licensed in
IA
In the registry since
2018
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

20 E Eaton Ave
Tracy, CA 95376-3100
Phone: (209) 553-0737
Show map & directions

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

Specialties & licences

Prescribing (Medical) Psychologist (primary) Taxonomy 103TP0016X
Registered Nurse Taxonomy 163W00000X · Licence 789456 (IA)

Record details

NPI number1922574920
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedOctober 17, 2018
Last updated in NPPESMay 3, 2025
Certification dateMay 3, 2025
Mailing address20 E Eaton Ave, Tracy, CA 95376-3100