Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Kelly Ingrid Sullivan, MD

Pediatrics Physician in College Station, TX · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043492291

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Registry record

Entity type Individual (Type 1)

Name Dr. Kelly Ingrid Sullivan

Credential MD

Sex Female

Practice address 1602 Rock Prairie Rd, Suite 340, College Station, TX, 77845

Phone (979) 696-4440

Fax (979) 696-7812

Enumeration date Nov 29, 2007

Last updated in NPPES May 21, 2010

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License N1166 (TX) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Kelly Sullivan practice?

The practice location on file with NPPES is in College Station, TX. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Kelly Sullivan?

The National Provider Identifier (NPI) for Kelly Sullivan is 1043492291, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-05-21.