Brenna Sullivan
Specialist/Technologist, Athletic Trainer in Springfield, Massachusetts
1568330884- Practice location
- 1000 State St, Springfield, MA 01109-3151
- Phone
- 781-686-5845
- Fax
- —
- Last updated
- October 30, 2025
Brenna Sullivan is a Specialist/Technologist, Athletic Trainer based in Springfield, MA. Brenna Sullivan practices in Springfield, MA. The NPI Number for Brenna Sullivan is 1568330884 and holds a License No. ATL22255 (MA). The current practice location address for Brenna Sullivan is 1000 State St, Springfield, MA 01109-3151 and can be reached out via phone at 781-686-5845.
Provider Profile Details
- NPI Number
- 1568330884
- Provider Name
- Brenna Sullivan
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1000 State St, Springfield, MA 01109-3151
- Phone Number
- 781-686-5845
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 28, 2025
- Last Update Date
- October 30, 2025
- Certification Date
- October 28, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1000 State St
Springfield, MA 01109-3151 - City
- Springfield
- State
- Massachusetts
- Zip
- 01109-3151
- Phone Number
- 781-686-5845
Provider Business Mailing Address Details
- Address
- 357 High St
Randolph, MA 02368-1609 - City
- Randolph
- State
- MA
- Zip
- 02368-1609
License Information
- License Number
- ATL22255
- License State
- MA
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Brenna Sullivan?
The NPI number of Brenna Sullivan is 1568330884. It was assigned on October 28, 2025 and is currently active in the NPPES registry.
What is the specialty of Brenna Sullivan?
Brenna Sullivan is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number ATL22255.
Where does Brenna Sullivan practice?
The practice location is 1000 State St, Springfield, MA 01109-3151. The office can be reached at 781-686-5845 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568330884 directly on the NPPES registry website.