MICHELLE P SULLIVAN (NPI# 1134110760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134110760 |
| Entity Type | Individual |
| Full Name | MICHELLE P SULLIVAN |
| Credential | LCSW |
| Practice Address |
4700 North Las Vegas Boulevard Mike O'callaghan Federal Medical Center Nellis Air Force Base NV 89191-6601 |
| Mailing Address |
4700 Las Vegas Blvd N Mike O'callaghan Federal Medical Center Nellis Afb NV 89191-6600 |
| Practice Telephone | 7026533455 |
| Practice Fax Number | 7026533398 |
| Mailing Telephone | 7026533455 |
| Mailing Fax Number | 7026533398 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2014-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | CW014390 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | SU 763420 | 01 |
| 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 |
| 1023120730 | Michelle K Sullivan | Speech-Language Pathologist | 3769 Ny-417, Jasper, NY 14855 | 2006-08-31 |
| 1235137894 | Michelle Lee Sullivan | Psychologist | 2305 N Parham Rd, Suite 3, Richmond, VA 23229-3156 | 2005-07-08 |
| Street Address |
4700 NORTH LAS VEGAS BOULEVARD MIKE O'CALLAGHAN FEDERAL MEDICAL CENTER |
| City | NELLIS AIR FORCE BASE |
| State | NV |
| Zip Code | 89191-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662687 | Ashley Raye Roth-garcia | Student in an Organized Health Care Education/Training Program | 99th Medical Group 4700 Las Vegas Blvd North, Nellis Afb, NV 89191 | 2020-02-25 |
| 1427553734 | Christopher Robert Weisgarber | Student in an Organized Health Care Education/Training Program | Mike O'callaghan Military Medical Center, 4700 Las Vegas Blvd North Bldg 1300, Las Vegas, NV 89191 | 2018-03-28 |
| 1912345448 | Austin Joseph Ladner | Dentist | 99th Air Base Wing Public Affairs, Fpo, AA 89191 | 2013-06-06 |
| 1528329018 | Mayer M Jeppson | Psychologist | 4700 Las Vegas Blvd. N, Nellis Afb, NV 89191 | 2012-05-31 |
| 1255560462 | Jordan Lawrence | Military Health Care Provider | 1579 Malmstrom Avenue, Nellis Afb, NV 89191 | 2009-07-09 |
| 1225263072 | Adrienne L Clark | Military Health Care Provider | 5154 Ellsworth Ave, Suite 61690, Las Vegas, NV 89191 | 2009-05-22 |
| 1568634335 | Eleanor C Basilio | Registered Nurse | 4700 Las Vegas Blvd., Nellis Afb, NV 89191 | 2008-04-01 |
| 1316137037 | Sarah Rachel Glick | Pediatrics | 4700 N. Las Vegas Blvd., Mike O'callaghan Federal Medical Center, 99 Mdos/sgoc, Nellis Afb, NV 89191 | 2007-07-30 |
| 1619181302 | Ben Carter Robinson | Orthopaedic Surgery | 4700 N. Las Vegas Blvd, Nellis Afb-mofh Nellis Orthopedics, Las Vegas, NV 89191 | 2007-05-10 |
| 1609992205 | Conrad Lochner IIi, Odpc | Optometrist | 5691 Rickenbacker Road, Bldg. 431, Las Vegas, NV 89191 | 2007-03-22 |
| Find all providers in zip 89191 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790062 | Markendev | Social Worker | 150 Country Estates Cir Ste 107, Reno, NV 89511-4017 | 2020-11-04 |
| 1245839216 | Arisha Miller | Social Worker | 3433 Algiers Dr Apt 1189, Las Vegas, NV 89115-2848 | 2020-10-21 |
| 1780298117 | Paola Villena | Social Worker | 480 Galletti Way Unit 25, Sparks, NV 89431-5560 | 2020-09-02 |
| 1457960825 | Samantha Moore | Social Worker | 6543 Las Vegas Blvd S, Las Vegas, NV 89119-3223 | 2020-07-30 |
| 1912515420 | Cherize Curry | Social Worker | 2520 Saint Rose Pkwy Ste 220d, Henderson, NV 89074-7789 | 2020-07-21 |
| 1053929505 | Marcy Lorraine Ortiz | Social Worker | 2575 W Horizon Ridge Pkwy Apt 1913, Henderson, NV 89052-5934 | 2020-07-21 |
| 1740898493 | Donna Lynn Green | Social Worker | 10000 S Maryland Pkwy Apt 2098, Las Vegas, NV 89183-6392 | 2020-07-20 |
| 1033727193 | Whitney Janeen Davis | Social Worker | 2580 N Rancho Dr Ste 106, Las Vegas, NV 89130-3361 | 2020-07-15 |
| 1255958799 | Joseph Patrick Minnick Jr. | Social Worker | 1320 Red Gable Ln Unit 102, Las Vegas, NV 89144-7012 | 2020-07-01 |
| 1588288492 | David James Rohan | Social Worker | 1969 Alpland Ct, Sparks, NV 89434-6712 | 2020-06-05 |
| Find all providers with the same taxonomy | ||||
| City | NELLIS AIR FORCE BASE |
| Zip Code | 89191 |
Please comment or provide details below to improve the information on MICHELLE P 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.