KATHERINE SULLIVAN (NPI# 1114334604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114334604 |
| Entity Type | Individual |
| Full Name | KATHERINE SULLIVAN |
| Credential | MS, ATC, USAW |
| Practice Address |
5501 Old Montgomery Hwy Apt 8213 Tuscaloosa AL 35405-4908 |
| Practice Telephone | 5162861087 |
| Mailing Telephone | 5162861087 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2019-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
LAT-4054 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003468646 | Katherine Ann Sullivan | Registered Nurse | 1020 Glenlake Ave, Park Ridge, IL 60068-5150 | 2019-07-14 |
| 1053976779 | Katherine Sullivan | Counselor | 201 S Elliott Rd Apt 243, Chapel Hill, NC 27514-5967 | 2019-05-08 |
| 1285033878 | Katherine Josephine Sullivan | Physical Therapist | 194 Loch Lomond Rd, Rancho Mirage, CA 92270 | 2014-08-19 |
| 1487972345 | Katherine Frances Sullivan | Registered Nurse | 9047 Executive Park Dr Ste 210, Knoxville, TN 37923-4625 | 2010-05-17 |
| 1063648756 | Katherine Lynette Sullivan | Specialist/Technologist | 6600 Home Camp Rd, Du Bois, PA 15801-5642 | 2009-06-08 |
| 1437272028 | Katherine Beth Sullivan | Occupational Therapist | 88 Patchogue Ave, Patchogue, NY 11772-1694 | 2007-04-09 |
| 1548298011 | Katherine Christy Sullivan | Pediatrics | 1410 Sw Tradition Dr Ste 200, Ankeny, IA 50023 | 2006-06-30 |
| 1679530141 | Katherine T Sullivan | Obstetrics & Gynecology | 17183 Interstate 45 S Ste 410, Shenandoah, TX 77385-3313 | 2006-04-28 |
| 1518567130 | Katherine E Sullivan | Marriage & Family Therapist | 1100 W Town and Country Rd Ste 1250, Orange, CA 92868-4633 | 2020-11-01 |
| 1023621422 | Katherine Colleen Sullivan | Pharmacist | 935 Brighton Rd, Tonawanda, NY 14150-8113 | 2020-08-25 |
| Street Address |
5501 OLD MONTGOMERY HWY APT 8213 |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35405-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010270 | Jane Ferguson | Specialist/Technologist | 3831 3rd Ave, Apt 31, Tuscaloosa, AL 35405 | 2020-10-12 |
| 1487252771 | Changing Seasons Therapy and Consulting, Pllc | Social Worker | 1105 Southview Lane Ste 103 #2, Tuscaloosa, AL 35405 | 2020-10-09 |
| 1528590874 | Susan B. Miles | Registered Nurse | 1400 James I. Harrison Jr. Parkway E., Suite 100, Tuscaloosa, AL 35405 | 2017-03-28 |
| 1881069474 | Dhl Mobile Healthcare LLC | Nurse Practitioner | 7700 Highway 69 S Ste B, Tuscaloosa, AL 35405 | 2015-12-08 |
| 1386056026 | Remona Peterson | Family Medicine | 6521 Highway 69 S Ste M, Tuscaloosa, AL 35405 | 2014-05-29 |
| 1184909475 | Walter Dewaine Brewer | Pharmacist | 8701 Hwy 69 South, Tuscaloosa, AL 35405 | 2011-10-18 |
| 1063702439 | Annette Marie Gibson | Nurse Practitioner | 819 Mimosa Park Road, Suite C, Tuscaloosa, AL 35405 | 2011-04-19 |
| 1790075588 | Jones Counseling and Therapeutic Services | Marriage & Family Therapist | 138-39th Street, Tuscaloosa, AL 35405 | 2011-04-13 |
| 1356513030 | Jennifer Kaye Williams | Licensed Practical Nurse | 5404 4th Ct East, Tuscaloosa, AL 35405 | 2008-04-02 |
| 1679772891 | Vijaya K Kommareddi | Internal Medicine | 3701 Loop Road Suite 210, Va Medical Center, Tuscaloosa, AL 35405 | 2007-07-17 |
| Find all providers in zip 35405 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010270 | Jane Ferguson | Specialist/Technologist | 3831 3rd Ave, Apt 31, Tuscaloosa, AL 35405 | 2020-10-12 |
| 1508494220 | Miranda E Slack | Specialist/Technologist | 525 Frank Thomas Ave Apt 5, Tuscaloosa, AL 35401-2265 | 2020-03-29 |
| 1144850132 | Alicia Catherine Ingargiola | Specialist/Technologist | 900 Hargrove Rd Apt 18, Tuscaloosa, AL 35401-4857 | 2020-01-19 |
| 1780235838 | Allie Sheree Mccarthy | Specialist/Technologist | 504 University Boulevard, Tuscaloosa, AL 35487 | 2019-09-20 |
| 1689142267 | Courtney Dimitris | Specialist/Technologist | 600 13th St E Apt 641, Tuscaloosa, AL 35401-3396 | 2018-11-13 |
| 1295219871 | Anthony Lavon Truelove | Specialist/Technologist | 6131 Covington Villas Dr, Tuscaloosa, AL 35405-7025 | 2018-09-19 |
| 1659870897 | Bailey Nicole Duck | Specialist/Technologist | 1618 1st Ave, Tuscaloosa, AL 35401-3630 | 2018-02-02 |
| 1699294355 | William Olsey | Specialist/Technologist | 1321 8th Ave, Tuscaloosa, AL 35401-3412 | 2017-09-13 |
| 1043739709 | Bailey Elizabeth Stark | Specialist/Technologist | 309 21st Ave, Tuscaloosa, AL 35401-1041 | 2017-09-13 |
| 1275051591 | Brittany Marie Ingram | Specialist/Technologist | 718 Magnolia Drive, Tuscaloosa, AL 35487-0001 | 2017-09-07 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35405 |
Please comment or provide details below to improve the information on KATHERINE SULLIVAN.
| 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.