Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Bertha Siedah Sullivn, RN
Registered Nurse in Jackson, MS · enumerated 2020.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1831729417
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Registry record
Entity type Individual (Type 1)
Name Bertha Siedah Sullivn
Credential RN
Sex Female
Practice address 635 Hampton Way Apt C, Jackson, MS, 39211
Phone (662) 466-2208
Enumeration date Jan 22, 2020
Last updated in NPPES Jan 22, 2020
Taxonomy & licenses
163WM0705X Medical-Surgical Registered Nurse Nursing Service Providers · License 895742 (MS) Secondary
RN · Registered Nurse: A nurse who completed an accredited nursing program and passed the NCLEX-RN licensure exam.
About the RN credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 895742 | Other | MS | MS BOARD OF NURSING |
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.
Frequently asked questions
Where does Bertha Sullivn practice?
The practice location on file with NPPES is in Jackson, MS. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Bertha Sullivn?
The National Provider Identifier (NPI) for Bertha Sullivn is 1831729417, a Type 1 (individual) record in the CMS NPPES registry.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-22.