LISA SULLIVAN (NPI# 1144579418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144579418 |
| Entity Type | Individual |
| Full Name | LISA SULLIVAN |
| Practice Address |
252 California Ct Mission Viejo CA 92692-4098 |
| Practice Telephone | 9496979228 |
| Mailing Telephone | 9496979228 |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2012-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OTA2143 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285282459 | Lisa Sullivan | Behavior Technician | 719 N Hillview Dr, Boise, ID 83712-8122 | 2019-08-29 |
| 1184183550 | Lisa Sullivan | Contractor | 113 Constitution Ct Apt A, Albany, GA 31721-2150 | 2019-03-15 |
| 1366875197 | Lisa Sullivan | Counselor | 3740 Colony Dr Ste 260, San Antonio, TX 78230-2233 | 2013-08-15 |
| 1336486414 | Lisa Marie Sullivan | Social Worker | 18 Rose Pl, Selden, NY 11784-3122 | 2013-01-10 |
| 1811205750 | Lisa Renee Sullivan | Physician Assistant | 44305 Harmony Ln, Belleville, MI 48111-2449 | 2010-09-14 |
| 1700014065 | Lisa Hadeler Sullivan | Physical Therapist | 1420 Hwy 36, Hazlet, NJ 07730-1736 | 2009-06-25 |
| 1083874127 | Lisa Meghan Sullivan | Massage Therapist | 1640 Selby Ave Apt 6, Saint Paul, MN 55104-7379 | 2008-06-12 |
| 1841380375 | Lisa C. Sullivan | Pediatrics | 4950 Se Roethe Rd, Milwaukie, OR 97267-5746 | 2006-10-13 |
| 1386650273 | Lisa Marie Sullivan | Allergy & Immunology | 737 Saint Johns Ave, Highland Park, IL 60035-4650 | 2006-07-31 |
| 1023059813 | Lisa Hope Sullivan | Physical Therapist | 15 Neil Ct, Inside Jcc, Oceanside, NY 11572-5815 | 2006-06-10 |
| Street Address |
252 CALIFORNIA CT |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92692-4098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386177319 | Thomas David Clevenger | Respiratory Therapist, Registered | 27821 Barbate, Mission Viejo, CA 92692 | 2017-04-06 |
| 1679926349 | Advanced Behavioral Learning Environment | Behavioral Analyst | 24522 Aguirre, Mission Viejo, CA 92692 | 2016-07-19 |
| 1619216827 | Podiatry Hotline Inc | Clinic/Center | 20532 El Toro Rd Ste 111, Mission Viejo, CA 92692 | 2013-02-07 |
| 1609165356 | Shota Yamamoto | Radiology | 26161 Marguerite Pkwy Ste A, Mission Viejo, CA 92692 | 2011-04-04 |
| 1376842328 | Orange County Urogynecology, A Medical Corp. | Urology | 25108 Marguerite Pkwy, A-259, Mission Viego, CA 92692 | 2011-03-16 |
| 1528368180 | Jihad Naim Bayaa | Pharmacist | 26406 Lombardy Rd, Mission Viejo, CA 92692 | 2010-10-29 |
| 1588971162 | Emmanuel Angeles, D.d.s., Inc. | Dentist | 32065 Temecula Pkwy, #c, Temecula, CA 92692 | 2010-09-03 |
| 1063670768 | Mission Viejo Dental Associates | Clinic/Center | 25522 Marguerite Parkway, #100, Mission Viejo, CA 92692 | 2008-05-29 |
| 1205001435 | Moroni Chs Inc | Voluntary or Charitable | 21663 Paseo Casiano, Mission Viejo, CA 92692 | 2008-04-29 |
| 1730386988 | Turning Point Treatment Center | Substance Abuse Rehabilitation Facility | 23181 Tiagua Streer, Mission Viejo, CA 92692 | 2007-06-29 |
| Find all providers in zip 92692 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962971846 | Raymond Coburn | Specialist | 26921 La Alameda Apt 3214, Mission Viejo, CA 92691-7374 | 2018-11-20 |
| 1083129746 | Orange County Urology Associates, Inc. A Medical Group | Specialist | 26800 Crown Valley Pkwy Ste 340, Mission Viejo, CA 92691-8021 | 2017-12-04 |
| 1164813465 | Sonia Dingwall | Specialist | 25502 Aria Dr, Mission Viejo, CA 92692-5053 | 2015-02-09 |
| 1558650945 | Christopher Forrest Thompson | Specialist | 26726 Crown Valley Pkwy #200, Mission Viejo, CA 92691-8003 | 2011-04-06 |
| 1992970008 | Ferydoon Shan Bekhrad | Specialist | 22222 Oro Blanco, Mission Viejo, CA 92691-1535 | 2008-04-29 |
| 1972653616 | William E Schobert | Specialist | 26010 Acero, Suite 100, Mission Viejo, CA 92691-2799 | 2007-01-12 |
| 1073519559 | Kathleen Mary Pollock | Specialist | 26800 Crown Valley Pkwy, Suite 525, Mission Viejo, CA 92691-6384 | 2005-06-21 |
| 1750718631 | Danielle K Moul Md Inc Apc | Specialist | 26730 Crown Valley Pkwy, Suite 250, Mission Viejo, CA 92691-6364 | 2013-10-08 |
| 1003079062 | Jagmeet S Mundi | Specialist | 26726 Crown Valley Pkwy, #200, Mission Viejo, CA 92691-8003 | 2008-07-09 |
| 1316104441 | Patricia A. Wallace, M.d., Inc. | Specialist | 26732 Crown Valley Pkwy, Suite 327, Mission Viejo, CA 92691-6306 | 2008-05-16 |
| Find all providers in MISSION VIEJO | ||||
| City | MISSION VIEJO |
| Zip Code | 92692 |
Please comment or provide details below to improve the information on LISA 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.