MARY B SULLIVAN (NPI# 1164651675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164651675 |
| Entity Type | Individual |
| Full Name | MARY B SULLIVAN |
| Practice Address |
1138 W C St Torrington WY 82240-3371 |
| Mailing Address |
Po Box 314 Torrington WY 82240-0314 |
| Practice Telephone | 3075326296 |
| Practice Fax Number | 3075328519 |
| Mailing Telephone | 3075326296 |
| Mailing Fax Number | 3075328519 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2010-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487135430 | Mary Sullivan | Registered Nurse | 2527 Hiawatha, San Antonio, TX 78210-5422 | 2018-08-28 |
| 1508315961 | Mary Sheila Sullivan | Dietitian, Registered | 16 Raymond Dr, Wilbraham, MA 01095-2606 | 2016-09-27 |
| 1073851192 | Mary Barbara Sullivan | General Practice | 1403 Wind River Dr Se, Huntsville, AL 35802-3936 | 2013-01-24 |
| 1144572546 | Mary Elizabeth Sullivan | Social Worker | 123 Garden St, Needham, MA 02492-2029 | 2012-10-09 |
| 1164784781 | Mary Sullivan | Specialist | 3 Hawthorne St, Hicksville, NY 11801-2607 | 2012-06-10 |
| 1811268980 | Mary E Sullivan | Psychologist | 901 E Hackberry Ave Rm C-204, Mcallen, TX 78501-6502 | 2012-01-22 |
| 1366756272 | Mary Kate Sullivan | Occupational Therapy Assistant | 50 Madison Rd, Dumas, AR 71639-9385 | 2010-08-03 |
| 1740592955 | Mary Elizabeth Sullivan | Social Worker | 2201 South 17th Street, Lincoln, NE 68502-2953 | 2010-07-06 |
| 1215267554 | Mary J Sullivan | Speech-Language Pathologist | 95 Skowhegan Rd, Maine Center for Integrated Rehab, Fairfield, ME 04937-3303 | 2010-01-08 |
| 1588893564 | Mary Loraine Sullivan | Obstetrics & Gynecology | 133 W Main St # 240, El Cajon, CA 92020-3315 | 2009-07-10 |
| Street Address |
1138 W C ST |
| City | TORRINGTON |
| State | WY |
| Zip Code | 82240-3371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366562134 | Diversified Services Inc. | Day Training, Developmentally Disabled Services | 1138 W C St, Torrington, WY 82240-3371 | 2007-03-29 |
| 1881823029 | Diversified Services, Inc | Case Management | 1138 W C St, Torrington, WY 82240-3371 | 2009-07-09 |
| 1679702286 | Maria L Briggs | Case Manager/Care Coordinator | 1138 W C St, Torrington, WY 82240-3371 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083144968 | Alexy Cooley | Case Manager/Care Coordinator | 117 West 22nd, Torrington, WY 82240 | 2017-06-14 |
| 1063962009 | Kelsey Grant | Counselor | 1419 Main Street, Torrington, WY 82240 | 2016-10-13 |
| 1962818443 | Britton Michael Marsh | Dentist | 2017 Campbell Drive, Torrington, WY 82240 | 2014-07-07 |
| 1538588645 | Pratt - Lovercheck Practice | Social Worker | 231 Camino Del Rey, Torrington, WY 82240 | 2014-04-16 |
| 1912257312 | Sharon L Bates | Case Manager/Care Coordinator | 2802 West C St, Torrington, WY 82240 | 2012-09-12 |
| 1629342530 | Nathan A Moeller | Dentist | 211 E 20th Ave, Torrington, WY 82240 | 2012-02-24 |
| 1932471919 | Jody Ann Harper | Counselor | 136 West 21st Ave., Torrington, WY 82240 | 2012-02-06 |
| 1669701520 | Healing Concepts of Wyoming Inc | Chiropractor | 1925 East A Street, Torrington, WY 82240 | 2009-12-23 |
| 1720220072 | Bruce O Ross | Counselor | St. Joseph's Children's Home, 1419 Main St, Torrington, WY 82240 | 2009-04-01 |
| 1225247646 | Charles Clinton Kilgore | Chiropractor | 127 West 21st Avenue, Torrington, WY 82240 | 2007-05-22 |
| Find all providers in zip 82240 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942853585 | Caitlin Renee Mitchell | Case Manager/Care Coordinator | 707 Fremont Ave, Torrington, WY 82240-3402 | 2019-07-23 |
| 1679135552 | The Village | Case Manager/Care Coordinator | 103 Brian Rd, Torrington, WY 82240-9120 | 2019-07-01 |
| 1861980286 | Sara Jane Yung | Case Manager/Care Coordinator | 1825 E E St, Torrington, WY 82240-2939 | 2018-05-01 |
| 1083144968 | Alexy Cooley | Case Manager/Care Coordinator | 117 West 22nd, Torrington, WY 82240 | 2017-06-14 |
| 1013444611 | Madison Bates | Case Manager/Care Coordinator | 117 W 22nd Ave, Torrington, WY 82240-2301 | 2017-05-15 |
| 1356713358 | Kayla M Sherrow | Case Manager/Care Coordinator | 7073 Road 47f, Torrington, WY 82240-8251 | 2015-10-29 |
| 1932586229 | Rochelle Eva Stitt | Case Manager/Care Coordinator | 1441 W A St, Torrington, WY 82240-3319 | 2015-05-06 |
| 1124405436 | Richard Griebe Jr. | Case Manager/Care Coordinator | 1765 W C St, Torrington, WY 82240-3215 | 2015-05-06 |
| 1467797605 | Michelle Antonie Haines | Case Manager/Care Coordinator | 2209 E H St, Torrington, WY 82240-2523 | 2012-11-28 |
| 1912257312 | Sharon L Bates | Case Manager/Care Coordinator | 2802 West C St, Torrington, WY 82240 | 2012-09-12 |
| Find all providers in TORRINGTON | ||||
| City | TORRINGTON |
| Zip Code | 82240 |
Please comment or provide details below to improve the information on MARY B 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.