MS. MARY THERESA O'SULLIVAN (NPI# 1063736718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063736718 |
| Entity Type | Individual |
| Full Name | MS. MARY THERESA O'SULLIVAN |
| Credential | NP |
| Practice Address |
5000 S 5th Ave Hines IL 60141-3030 |
| Practice Telephone | 7082025988 |
| Mailing Telephone | 7082025988 |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2015-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
209007963 | IL | Hospitals |
| N | 284300000X | Special Hospital | 209007963 | IL | Hospitals |
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
209007963 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389494 | Mary Katherine O'sullivan | Registered Nurse | 1035 116th Ave Ne, Bellevue, WA 98004-4604 | 2020-08-31 |
| 1710513197 | Mary O'sullivan | Counselor | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2020-03-18 |
| 1881254985 | Mary O'sullivan | Nurse Practitioner | 45 Palmer St, Lowell, MA 01852-1834 | 2019-06-19 |
| 1598915571 | Mary Elizabeth O'sullivan | Audiologist | 501 Se 172nd Ave, 230, Vancouver, WA 98684-9542 | 2008-09-25 |
| 1407028079 | Mary Elizabeth O'sullivan | Audiologist | 984 N Broadway, Suite400, Yonkers, NY 10701-1318 | 2008-03-24 |
| 1952469884 | Mary Ellen O'sullivan | Psychologist | 10 Adams St, Suite 2, North Chelmsford, MA 01863-1746 | 2006-12-04 |
| 1962495788 | Mary M O'sullivan | Internal Medicine | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2005-08-26 |
| Street Address |
5000 S 5TH AVE |
| City | HINES |
| State | IL |
| Zip Code | 60141-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865452 | Patricia M Knisley | Dietitian, Registered | 5000 S 5th Ave, Food and Nutrition Services (120d), Hines, IL 60141-3030 | 2005-07-21 |
| 1821699273 | Matthew Nakeem Williams | Registered Nurse | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-11-03 |
| 1225638877 | Christine Marie Desparrois | Technician/Technologist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-10-31 |
| 1558961565 | Maggie Elizabeth Murphy | Music Therapist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-10-28 |
| 1689273781 | Carrie Gatz | Music Therapist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-10-20 |
| 1124626304 | Anne Kathryn Thorndyke | Pharmacist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-10-11 |
| 1033726781 | Josmi Joseph | Pharmacist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-09-28 |
| 1558975003 | Phillip M Christenson | Social Worker | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-09-02 |
| 1730793266 | Tanya Elaine Pringle | Social Worker | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-09-02 |
| 1912518796 | Dana Viola Shepherd | Pharmacist | 5000 S 5th Ave, Hines, IL 60141-3030 | 2020-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| Find all providers in zip 60141 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174166581 | Sarah Elizabeth Colon | Nurse Practitioner | 5000 S 5th Ave, Hines, IL 60141-3030 | 2019-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124521497 | Helen J Castro | Nurse Practitioner | 2524 Walnut St, Waukegan, IL 60087-3123 | 2018-03-13 |
| 1285805655 | Marguerite C Vitulski | Nurse Practitioner | 2019 W Irving Park Rd, Chicago, IL 60618-3909 | 2008-03-13 |
| 1194936500 | Olga Amusina | Nurse Practitioner | 815 Glenview Rd., Highland Park, IL 60035 | 2007-05-25 |
| 1336765064 | Mohammed Nabeel Hameed | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-06-18 |
| 1629699616 | Tiffany Ann Via | Nurse Practitioner | 1425 N Randall Rd, Elgin, IL 60123-2300 | 2020-04-30 |
| 1942857735 | Jessica Oranika | Nurse Practitioner | 2300 N Edward St, Decatur, IL 62526-4163 | 2019-08-26 |
| 1992293799 | Christine Young Jung | Nurse Practitioner | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2018-04-26 |
| 1679075022 | Kyle Edward May | Nurse Practitioner | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2018-03-01 |
| 1073030938 | Kathryn Ann Becker | Nurse Practitioner | 333 Madison St, Joliet, IL 60435-8200 | 2017-08-23 |
| 1518498971 | Ray Goodwin | Nurse Practitioner | 251 E Huron St, Chicago, IL 60611-2908 | 2017-03-27 |
| Find all providers with the same taxonomy | ||||
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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.