HEATHER BRENNAN SULLIVAN (NPI# 1003123035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003123035 |
| Entity Type | Individual |
| Full Name | HEATHER BRENNAN SULLIVAN |
| Credential | R.D. |
| Practice Address |
1711 N Larrabee St 2 Chicago IL 60614-5621 |
| Practice Telephone | 7732594809 |
| Mailing Telephone | 7732594809 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | 969683 | IL | Dietary & Nutritional Service Providers |
| Y | 133V00000X | Dietitian, Registered | 969683 | IL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382903 | Heather Sullivan | Registered Nurse | 101 Fieldstone Rd, Westwood, MA 02090-1113 | 2019-05-28 |
| 1275839102 | Heather Maureen Sullivan | Acupuncturist | 495 N Riverside Dr Ste 104, Gurnee, IL 60031-5919 | 2011-02-10 |
| 1578584165 | Heather E. Sullivan | Family Medicine | 108 County Rd, Eastford, CT 06242-7710 | 2006-07-21 |
| 1215591334 | Heather M Sullivan | Counselor | 550 Summit Ave, Troy, OH 45373-3047 | 2019-04-24 |
| 1770146433 | Heather Sullivan | Case Management | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2019-04-18 |
| 1003325093 | Heather Marie Sullivan | Speech-Language Pathologist | 11244 Willow Crest Ln, Mokena, IL 60448-1334 | 2017-09-22 |
| 1922537703 | Heather J Sullivan | Occupational Therapist | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2017-06-06 |
| 1205383890 | Heather Sullivan | Registered Nurse | 110 10th St Se, Bandon, OR 97411-9157 | 2016-09-01 |
| 1144692823 | Heather Sullivan | Nurse Practitioner | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2015-10-21 |
| 1336552017 | Heather Sullivan | Nurse Practitioner | 114 University Ave, Rochester, NY 14605-2929 | 2014-06-10 |
| Street Address |
1711 N LARRABEE ST 2 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
| 1841891207 | Elizabeth Kristin Julius | Dietitian, Registered | 833 W Buena Ave Apt 1901, Chicago, IL 60613-6634 | 2020-11-03 |
| 1447857065 | Tran Huynh | Dietitian, Registered | 6126 N Rockwell St Apt 3, Chicago, IL 60659-2859 | 2020-10-06 |
| 1447867668 | Daniela Jannette | Dietitian, Registered | 1400 N Lake Shore Dr Apt 11b, Chicago, IL 60610-6637 | 2020-09-30 |
| 1598372252 | Nora P Egan | Dietitian, Registered | 2266 W 109th St, Chicago, IL 60643-3212 | 2020-09-28 |
| 1700490273 | Adriana Chychula | Dietitian, Registered | 2229 W Rice St, Chicago, IL 60622-4858 | 2020-09-02 |
| 1912519703 | Melissa Freeman | Dietitian, Registered | 225 E Chicago Ave # 23, Chicago, IL 60611-2991 | 2020-08-21 |
| 1346859873 | Jessica Mcfadden | Dietitian, Registered | 360 W Hubbard St Apt 3910, Chicago, IL 60654-5730 | 2020-07-30 |
| 1114535143 | Jannette Rho | Dietitian, Registered | 3149 N Springfield Ave Apt 3a, Chicago, IL 60618-6550 | 2020-07-15 |
| 1740807437 | Lisa Schrader | Dietitian, Registered | 2003 W Fulton St Ste 3oo, Chicago, IL 60612-2345 | 2020-06-29 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.