MARYBETH SULLIVAN (NPI# 1043848633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043848633 |
| Entity Type | Individual |
| Full Name | MARYBETH SULLIVAN |
| Credential | RN |
| Practice Address |
1401 Dekalb St Norristown PA 19401-3405 |
| Mailing Address |
1412 Fairmount Ave Philadelphia PA 19130-2908 |
| Practice Telephone | 4847516241 |
| Mailing Telephone | 2152359600 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
RN507395L | PA | Nursing Service Providers |
| Street Address |
1401 DEKALB ST |
| City | NORRISTOWN |
| State | PA |
| Zip Code | 19401-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770566655 | Nicole L. Witherspoon | Family Medicine | 1401 Dekalb St, Norristown, PA 19401-3405 | 2005-11-23 |
| 1982232633 | Kimberly Allen | Registered Nurse | 1401 Dekalb St, Norristown, PA 19401-3405 | 2020-03-30 |
| 1407314198 | Michelle Schweitzer | Social Worker | 1401 Dekalb St, Norristown, PA 19401-3405 | 2019-03-12 |
| 1508381971 | Amy Saunders | Dental Hygienist | 1401 Dekalb St, Norristown, PA 19401-3405 | 2017-08-07 |
| 1700316932 | Kelsey Elizabeth Mcglade | Family Medicine | 1401 Dekalb St, Norristown, PA 19401-3405 | 2017-06-20 |
| 1609242940 | Jennifer Karla Kabir | Nurse Practitioner | 1401 Dekalb St, Norristown, PA 19401-3405 | 2015-08-20 |
| 1356725022 | Margaret Kathleen Ciavarelli | Family Medicine | 1401 Dekalb St, Norristown, PA 19401 | 2015-07-13 |
| 1811143829 | Mana Golzari | Pediatrics | 1401 Dekalb St, Norristown, PA 19401-3405 | 2008-08-09 |
| 1053529693 | Milagros M Manzano | Physician Assistant | 1401 Dekalb St, Norristown, PA 19401-3405 | 2007-05-18 |
| 1093923492 | Daniel Hackett Mccarty-prefontaine | Physician Assistant | 1401 Dekalb St, Norristown, PA 19401-3405 | 2007-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598384711 | Ankush Kumar Gupta | Student in an Organized Health Care Education/Training Program | Suburban Community Hospital, Graduate Medical Education, 2701 Dekalb Pike, Norristown, PA 19401 | 2020-04-09 |
| 1780212100 | Aemen Shams Khakwani | Student in an Organized Health Care Education/Training Program | 2701 Dekalb Pike, Graduate Medical Education Office, Norristown, PA 19401 | 2020-03-31 |
| 1073085502 | Real Care Assistance | Technician | 509 Noble St, Norristown, PA 19401 | 2018-12-21 |
| 1275010456 | A One Dental Care PC | Dentist | 11 West Lafayette St, Norristown, PA 19401 | 2018-07-20 |
| 1538677620 | Gianna Center of Philadelphia | Obstetrics & Gynecology | 2701 Dekalb Pike Ste 207, East Norriton, PA 19401 | 2018-01-11 |
| 1316476716 | Valentina Savath | Dentist | 350 E Germantown Pike, East Norriton, PA 19401 | 2017-06-08 |
| 1255868782 | Kory M Collier | Occupational Therapist | 2751 Dekalb Pike, East Norrion, PA 19401 | 2017-05-15 |
| 1801246400 | Bh Brightview East Norriton Opco, LLC | Alzheimer Center (Dementia Center) | 300 E. Germantown Pike, East Norriton, PA 19401 | 2016-06-15 |
| 1437519881 | Heather Yzzi | Counselor | 13 Zummo Way, Norristown, PA 19401 | 2016-02-27 |
| 1306255286 | Christina Stengel Tabbut | Speech-Language Pathologist | 2751 Dekalb Pk., East Norriton, PA 19401 | 2014-08-05 |
| Find all providers in zip 19401 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143703 | Tameka Mayers | Registered Nurse | 5727 Windsor Ave, Philadelphia, PA 19143-5232 | 2020-08-10 |
| 1730712514 | Megan Ann Infanti Mraz | Registered Nurse | 930 E Lincoln Hwy, Exton, PA 19341-2878 | 2020-02-19 |
| 1851939615 | Erika Marie Wimbish | Registered Nurse | 2240 William Penn Hwy, Pittsburgh, PA 15235-2775 | 2019-12-11 |
| 1962066019 | Jamie Whiting | Registered Nurse | 95 Lempa Rd, Holland, PA 18966-2413 | 2019-04-24 |
| 1043709058 | Penny Hayward | Registered Nurse | 2308 Carson St, Mckeesport, PA 15132-7806 | 2018-05-04 |
| 1366941601 | Reverent Nursing Care, LLC | Registered Nurse | 2342 Beacon Hill Rd, Lancaster, PA 17601-2810 | 2018-02-01 |
| 1356794119 | Kathleen Pollock | Registered Nurse | 1 Green Ridge Rd, Mechanicsburg, PA 17050-1507 | 2016-07-18 |
| 1861852881 | Patricia Renee Bruce | Registered Nurse | 606 Gorgas Ln, Philadelphia, PA 19128-2448 | 2016-03-03 |
| 1518306356 | Jennifer Anne Parco | Registered Nurse | 1183 Jacks Run Road, Pediatria Healthcare for Kids, North Versailles, PA 15137 | 2013-06-14 |
| 1689922312 | Lisa Smeltzer | Registered Nurse | 491 E. Eighth Avenue, Homestead, PA 15120 | 2012-08-28 |
| Find all providers with the same taxonomy | ||||
| City | NORRISTOWN |
| Zip Code | 19401 |
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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.