JO M SULLIVAN (NPI# 1043240328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043240328 |
| Entity Type | Individual |
| Full Name | JO M SULLIVAN |
| Credential | N.P. |
| Practice Address |
3601 S. 6th Ave Tucson AZ 85723 |
| Practice Telephone | 5206291838 |
| Practice Fax Number | 5206291773 |
| Mailing Telephone | 5206291838 |
| Mailing Fax Number | 5206291773 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2015-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 105958 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
105958 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 864357 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972682979 | Jo Ellen Sullivan | Pharmacist | 305 Front Street, Taylorsville, MS 39168 | 2006-11-02 |
| Street Address |
3601 S. 6TH AVE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245295476 | Lorraine Pipkin | Nurse Practitioner | 3601 S. 6th Ave, Southern Arizona Va Health Center, Tucson, AZ 85775-0001 | 2006-04-19 |
| 1497005862 | Maira Davis | Pharmacist | 3601 S. 6th Ave, Pharmacy Service (13-119), Tucson, AZ 85723 | 2012-09-13 |
| 1881710838 | Brett Sapp | Social Worker | 3601 S. 6th Ave, Tucson, AZ 85723-6106 | 2007-03-21 |
| 1780793455 | Jared A Shaffer | Pharmacist | 3601 S. 6th Ave, Tucson, AZ 85745 | 2006-08-29 |
| 1902910573 | Amy Lyn Grimes | Optometrist | 3601 S. 6th Ave, (2-112a), Tucson, AZ 85723 | 2006-08-19 |
| 1750303772 | John E. Adams | Social Worker | 3601 S. 6th Ave, Bldg 90-1620, Tucson, AZ 85723 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265912380 | Daniel Martyn Altig | Social Worker | Savahcs, 3601 South 6th Ave, Tucson, AZ 85723 | 2018-08-17 |
| 1760924757 | Jose Santos Urias | Respiratory Therapist, Registered | 3601s 6th Ave, Tucson, AZ 85723 | 2016-11-08 |
| 1144461898 | Roy Alan Kolden | Respiratory Therapist, Certified | 3601 South 6th Avenue, Tucson, AZ 85723 | 2009-03-10 |
| 1861689804 | Rene Adan Nunez | Radiologic Technologist | 3601 South 6th Avenue (9-05), Tucson, AZ 85723 | 2007-10-03 |
| 1609956176 | Kenneth Ely Monroe | Internal Medicine | 3601 So 6th Ave, Southern Arizona Va Health Care Service, Tucson, AZ 85723 | 2006-10-17 |
| 1639269566 | James Edward Hadley | Kinesiotherapist | 3601 S 6 Th Ave, Tucson, AZ 85723 | 2006-10-13 |
| 1437240470 | Anita Judith Goss | Nurse Practitioner | 3601 S 6th St, 4116a, Tucson, AZ 85723 | 2006-09-27 |
| 1053410795 | Edwin Harold Kroon | Psychiatry & Neurology | 3601 South 6th Ave, Southern Arizona Va Health Care System, Tucson, AZ 85723 | 2006-09-21 |
| 1568572469 | Joseph Edward Upson | Internal Medicine | 3601 S. 6th Avenue, Tucson, AZ 85723 | 2006-08-30 |
| 1528175072 | Jayendra H Shah | Internal Medicine | 3601 S. 6ht Avenue, Tucson, AR 85723 | 2006-08-23 |
| Find all providers in zip 85723 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265970065 | Angela Marton | Nurse Practitioner | 2501 W Orange Grove Rd Unit 51, Tucson, AZ 85741-3416 | 2017-02-01 |
| 1861853673 | Christa Ann Cuellar | Nurse Practitioner | 2001 W Orange Grove Rd Ste 202, Tucson, AZ 85704-1100 | 2016-03-08 |
| 1093082661 | Melisa Ann Clayton | Nurse Practitioner | 41 E Calle Cinco Vecinos, Tucson, AZ 85704-6928 | 2011-11-25 |
| 1912132457 | Ascension Senior Care Services, Inc | Nurse Practitioner | 3430 E Sunrise Dr, Suite 170, Tucson, AZ 85718-3239 | 2009-05-28 |
| 1083659213 | Gladys Susan Benavente | Nurse Practitioner | 3601 S.6th Ave, Mc -5-121a, Tucson, AZ 85723-0001 | 2006-06-19 |
| 1871546481 | Alan M June | Nurse Practitioner | 4782 N First Ave Ste 170, The Pain Institute of Southern Arizona Pisa, PC, Tucson, AZ 85718 | 2006-05-18 |
| 1275523656 | Karen Lynn Gialle | Nurse Practitioner | Southern Az Va Health Care System, 3601 S Sixth Ave, Tucson, AZ 85723-0001 | 2005-10-26 |
| 1306471719 | Lauren Ortega Stokes | Nurse Practitioner | 2424 N Wyatt Dr Ste 100, Tucson, AZ 85712-6119 | 2020-03-05 |
| 1477033900 | Tricia Alvarez | Nurse Practitioner | 4892 N Stone Ave, Tucson, AZ 85704-5761 | 2018-08-15 |
| 1548765811 | Rebecca Lynn Snider | Nurse Practitioner | 3838 N Campbell Ave, Tucson, AZ 85719-1478 | 2018-03-28 |
| Find all providers in TUCSON | ||||
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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.