COLLEEN BLAIR SULLIVAN (NPI# 1003241613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003241613 |
| Entity Type | Individual |
| Full Name | COLLEEN BLAIR SULLIVAN |
| Practice Address |
9706 4th Ave Ne Ste 303 Northgate Seattle WA 98115-2199 |
| Mailing Address |
1600 E Olive St Sound Mental Health Seattle WA 98122-2735 |
| Practice Telephone | 2063022900 |
| Practice Fax Number | 2063022210 |
| Mailing Telephone | 2063022200 |
| Mailing Fax Number | 2063022210 |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348119 | Colleen Marie Sullivan | Student in an Organized Health Care Education/Training Program | 42 Mill St, Apartment 2, Dudley, MA 01571-3373 | 2013-11-29 |
| 1770916959 | Colleen Marie Sullivan | Nurse Practitioner | 12 Biltmore Ave, Chelmsford, MA 01824-3202 | 2013-08-12 |
| 1366715559 | Colleen Jean Sullivan | Licensed Practical Nurse | 173 Mutton Ln, Apt 2, East Weymouth, MA 02189-2434 | 2012-02-17 |
| 1891013785 | Colleen Sullivan | Pharmacist | 31 Garden Rd, Plaistow, NH 03865-2933 | 2010-05-17 |
| 1891764486 | Colleen J Sullivan | Registered Nurse | 142 E Van Buren St, Port Washington, WI 53074-1613 | 2006-03-16 |
| 1487298865 | Colleen Marie Sullivan | Counselor | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-10-29 |
| 1437702594 | Colleen Elizabeth Sullivan | Social Worker | 1011 Bingham St, Pittsburgh, PA 15203-1101 | 2019-07-18 |
| 1962947721 | Colleen Sullivan | Behavior Technician | 53869 Connor Dr, Chesterfield, MI 48051-3930 | 2017-01-03 |
| 1508300732 | Colleen Marie Sullivan | Occupational Therapist | 101 W 116th St, New York, NY 10026-2521 | 2016-12-07 |
| 1396111423 | Colleen Marie Sullivan | Pharmacist | 11449 W Palmetto Park Rd, Boca Raton, FL 33428-2659 | 2015-08-12 |
| Street Address |
9706 4TH AVE NE STE 303 NORTHGATE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98115-2199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548391170 | Kaori Oto | Marriage & Family Therapist | 9706 4th Ave Ne Ste 303, Seattle, WA 98115 | 2007-03-07 |
| 1396364949 | Jaime Migula | Counselor | 9706 4th Ave Ne Ste 303, Seattle, WA 98115-2199 | 2020-04-14 |
| 1912331737 | Peggy Hobbs | Student in an Organized Health Care Education/Training Program | 9706 4th Ave Ne Ste 303, Northgate, Seattle, WA 98115-2199 | 2013-08-28 |
| 1477995967 | Hesusa Marie Kroll | Student in an Organized Health Care Education/Training Program | 9706 4th Ave Ne Ste 303, Northgate, Seattle, WA 98115-2199 | 2013-07-24 |
| 1134563547 | Phaedra Elizabeth Pascoe | Psychiatry & Neurology | 9706 4th Ave Ne Ste 303, Seattle, WA 98115 | 2013-04-29 |
| 1104190453 | Mandy Di Alexander | Counselor | 9706 4th Ave Ne Ste 303, Sound Mental Health, Seattle, WA 98115-2199 | 2012-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
| 1396387346 | Catherine Erickson | Social Worker | 6527 - 21st Ave Ne, Suite 4, Seattle, WA 98115 | 2019-10-10 |
| 1275003857 | Margaret Ellen Haber | Social Worker | 2400 Ne 95th Street, Seattle, WA 98115 | 2018-11-27 |
| 1528584513 | Katharine Huntington Poinier | Registered Nurse | 8521 5th Avenue Ne, Seattle, WA 98115 | 2017-08-21 |
| 1750802229 | Cody David Pollock | Student in an Organized Health Care Education/Training Program | 1959 Northeast Pacific Street, Box 357115 University of Washington Medical Center, Seattle, WA 98115 | 2017-07-05 |
| 1144759416 | Amber Padron | Behavior Technician | 6537 Oswego Place Ne, Apt 8, Seattle, WA 98115 | 2017-06-08 |
| 1639603509 | Matthew Vanwinkle | Physical Therapist | 3290 Ne 65th Street, Unit 101, Seattle, WA 98115 | 2017-04-17 |
| 1538607650 | Karen Van Vuren | Registered Nurse | 204 Ne 94h St, Seattle, WA 98115 | 2017-02-09 |
| 1992251599 | Anders Kobbevik | Massage Therapist | 1200 Ne 65th Street, Seattle, WA 98115 | 2016-09-01 |
| 1295288181 | Brandon Marsicek | Counselor | 419 Ne 71st St Apt 407, Seattle, WA 98115 | 2016-07-27 |
| Find all providers in zip 98115 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342358 | Emma Peconga | Student in an Organized Health Care Education/Training Program | 3619 Ashworth Ave N, Seattle, WA 98103-8116 | 2020-10-02 |
| 1780290361 | Compassionate Peer Counseling LLC | Student in an Organized Health Care Education/Training Program | 3250 Airport Way S Ste 608, Seattle, WA 98134-2172 | 2020-09-19 |
| 1336751684 | Binabahen Shah | Student in an Organized Health Care Education/Training Program | 6035 4th Ave Nw, Seattle, WA 98107-2109 | 2020-08-18 |
| 1316558968 | Jimmy Nguyen | Student in an Organized Health Care Education/Training Program | 5525 23rd Ave S, Seattle, WA 98108-2918 | 2020-08-16 |
| 1174133672 | Selomie Habtemichael | Student in an Organized Health Care Education/Training Program | 10000 30th Ave Sw, Seattle, WA 98146-3720 | 2020-08-09 |
| 1659980720 | Joseph Banham | Student in an Organized Health Care Education/Training Program | 12057 Lakeside Pl Ne, Seattle, WA 98125-5956 | 2020-07-24 |
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1659993723 | Caroline Mullins | Student in an Organized Health Care Education/Training Program | 701 N 36th St Ste 3000, Seattle, WA 98103-8868 | 2020-05-12 |
| 1730700741 | Christian Van Rooyen | Student in an Organized Health Care Education/Training Program | 1951 Pacific Street, Seattle, WA 98195 | 2020-04-30 |
| 1669092128 | Ahmed Abdelrazek | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, 356560, Department of Psychiart, Seattle, WA 98195-6560 | 2020-04-24 |
| Find all providers in SEATTLE | ||||
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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.