MRS. MICHELLE K SULLIVAN (NPI# 1023120730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023120730 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE K SULLIVAN |
| Credential | M.S. CCC-SLP |
| Practice Address |
3769 Ny-417 Jasper NY 14855 |
| Mailing Address |
347 S Division St Hornell NY 14843-2135 |
| Practice Telephone | 6077923675 |
| Mailing Telephone | 6076540062 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 012816 | NY | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | SA 8194 | FL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 8911096 00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1164900791 | Michelle Lori Sullivan | Advanced Practice Midwife | 1717 Dusty Boot Dr, Lafayette, CO 80026-1409 | 2018-08-06 |
| 1851726350 | Michelle Sullivan | Behavioral Analyst | 22 Wampatuck Ave, Scituate, MA 02066-2930 | 2013-09-04 |
| 1649613241 | Michelle Louise Sullivan | Licensed Practical Nurse | 2167 Danby Rd, Willseyville, NY 13864-1004 | 2013-04-12 |
| 1003040858 | Michelle Yvette Sullivan | Specialist | 288 Atchison St, Pasadena, CA 91104-1002 | 2009-05-08 |
| 1225207376 | Michelle Sullivan | Speech-Language Pathologist | 902 Lillieshall Rd, Waxhaw, NC 28173-6673 | 2008-02-22 |
| 1376727909 | Michelle Lyn Sullivan | Physical Therapist | 1023 Washington Ave, Portland, ME 04103-2793 | 2007-12-18 |
| 1912120247 | Michelle Sullivan | Marriage & Family Therapist | 221 W 26th St, Newton, NC 28658-2821 | 2007-04-11 |
| 1134110760 | Michelle P Sullivan | Social Worker | 4700 North Las Vegas Boulevard, Mike O'callaghan Federal Medical Center, Nellis Air Force Base, NV 89191-6601 | 2005-11-02 |
| 1235137894 | Michelle Lee Sullivan | Psychologist | 2305 N Parham Rd, Suite 3, Richmond, VA 23229-3156 | 2005-07-08 |
| Street Address |
3769 NY-417 |
| City | JASPER |
| State | NY |
| Zip Code | 14855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669741161 | Barbara R Leach | Registered Nurse | 3769 State Route 417, Jasper, NY 14855 | 2011-12-29 |
| 1669631701 | Michele Lea Newton | Licensed Practical Nurse | 2492 Hunter Hill Road, Jasper, NY 14855-0075 | 2008-06-04 |
| 1487785283 | Jasper-troupsburg Central School | Local Education Agency (LEA) | 3769 State Route 417, Jasper, NY 14855-0081 | 2007-03-07 |
| 1194086991 | Sheila Palmiter | Specialist | 2600 Five Corners Rd, Jasper, NY 14855-9756 | 2012-06-07 |
| 1366930992 | Rachele Beaudoin | Registered Nurse | 3823 Preacher Rd, Jasper, NY 14855-9758 | 2018-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487212 | Kelley M Vonderheide | Physical Therapist | 255 W 36th St Ste 100, Jasper, IN 47546-7850 | 2020-11-03 |
| 1437758851 | Marquita Arnell King | Licensed Vocational Nurse | 2402 Donna Dr, Jasper, TX 75951-5915 | 2020-10-19 |
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1598363434 | Amanda J Griggs | Massage Therapist | 54 Wolfscratch Village, Jasper, GA 30143 | 2020-10-13 |
| 1609483114 | Marion County Board of Education | Local Education Agency (LEA) | 204 Betsy Pack Dr, Jasper, TN 37347-3324 | 2020-09-29 |
| 1720692965 | Brian Enver Alli | Massage Therapist | 27 Laurel Ridge Lane, Jasper, GA 30143-5104 | 2020-09-04 |
| 1528670452 | The Capstone Rural Health Center | Clinic/Center | 1400 19th St W, Jasper, AL 35501-5171 | 2020-08-21 |
| 1497365498 | Krina Patel | Dentist | 101 6th Ave Nw, Jasper, AL 35504-7486 | 2020-08-04 |
| 1053920314 | Little Company of Mary Hospital of Indiana Inc | Surgery | 1025 1st Ave W Ste B, Jasper, IN 47546-3217 | 2020-07-23 |
| 1235755190 | Mackenzie Rose Mendel | Physician Assistant | 721 W 13th St Ste 321, Jasper, IN 47546-1857 | 2020-06-17 |
| Find all providers in JASPER | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053978569 | Halie Melvina Savage | Speech-Language Pathologist | 1000 Highway 78 W, Jasper, AL 35501-3655 | 2019-05-21 |
| 1992368625 | Stacia Lynn Schiefer | Speech-Language Pathologist | 991 3rd Ave, Jasper, IN 47546-3701 | 2019-04-18 |
| 1992273098 | Brandy Morgan | Speech-Language Pathologist | 13604 Se County Road 132, Jasper, FL 32052-4062 | 2018-11-06 |
| 1982101606 | Emily Ivey Sentell | Speech-Language Pathologist | 1400 Highway 78 W Ste 200, Jasper, AL 35501-3686 | 2018-04-09 |
| 1124540422 | Rachel Leanna Shewbart | Speech-Language Pathologist | 710 Highway 78 W, Jasper, AL 35501-3750 | 2017-07-09 |
| 1225585052 | Ashley Mitchell | Speech-Language Pathologist | 1603 Mill St, Jasper, IN 47546-1718 | 2016-09-09 |
| 1245787993 | Brandy Lemen | Speech-Language Pathologist | 701 Keusch Ln, Jasper, IN 47546-2980 | 2016-09-09 |
| 1336551977 | Stephanie Mitchell Despain | Speech-Language Pathologist | 526 S Wheeler St, Jasper, TX 75951-4540 | 2014-06-02 |
| 1528378163 | Lisa Marie Roper | Speech-Language Pathologist | 910 Oakhill Road, Jasper, AL 35504 | 2010-10-18 |
| 1407173362 | Kathryn Warren | Speech-Language Pathologist | 1622 Sugar Pine Dr, Jasper, IN 47546-2202 | 2010-04-30 |
| Find all providers in JASPER | ||||
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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.