DEBORAH SULLIVAN (NPI# 1164816716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164816716 |
| Entity Type | Individual |
| Full Name | DEBORAH SULLIVAN |
| Credential | RN/NP |
| Practice Address |
41 Mall Rd Trauma Office 2t53 Burlington MA 01805-0001 |
| Mailing Address |
41 Mall Rd Trauma Office, 2t53 Burlington MA 01805-0001 |
| Practice Telephone | 7817445006 |
| Mailing Telephone | 7817445006 |
| Enumeration Date | 2015-03-22 |
| Last Update Date | 2015-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN161154 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568950152 | Deborah Hall Sullivan | Registered Nurse | 1000 Sanger Ave, Oceanport, NJ 07757-1241 | 2018-04-29 |
| 1275968927 | Deborah Mae Sullivan | Case Manager/Care Coordinator | 190 Mossy Oak Cir, North Augusta, SC 29841-3093 | 2013-09-12 |
| 1639419633 | Deborah Sullivan | Speech-Language Pathologist | 10140 Sw Paulina Dr, Tualatin, OR 97062-8549 | 2013-02-27 |
| 1972649143 | Deborah C. Sullivan | Dentist | 1200 U.S. Hwy 287 North, Suite 102, Mansfield, TX 76063 | 2007-01-29 |
| 1487643201 | Deborah Ann Sullivan | Genetic Counselor, MS | 182 Colon Ave, Staten Island, NY 10308-1405 | 2005-10-14 |
| 1023018900 | Deborah A Sullivan | Nurse Practitioner | 2139 N Academy Blvd, Colorado Springs, CO 80909-1507 | 2005-07-21 |
| 1730720327 | Deborah Sheryl Sullivan | Psychologist | 1384 Kempsville Rd, Norfolk, VA 23502-2299 | 2019-10-04 |
| 1699236224 | Deborah Katherine Sullivan | Counselor | 40700 California Oaks Rd Ste 202, Murrieta, CA 92562-5789 | 2019-03-27 |
| 1053740142 | Deborah Sullivan | Speech-Language Pathologist | 415 6th St, Lewiston, ID 83501-2431 | 2013-11-08 |
| 1356619258 | Deborah Canfield Sullivan | Speech-Language Pathologist | 485 N Clinton Ave, Rochester, NY 14605-1817 | 2011-12-06 |
| Street Address |
41 MALL RD TRAUMA OFFICE 2T53 |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01805-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770588923 | Gene Wong | Radiology | 41 Mall Rd, Burlington, MA 01805 | 2005-06-15 |
| 1689289977 | Justin Li | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-09-13 |
| 1235743741 | Rebecca C Mccarthy | Registered Nurse | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-09-02 |
| 1730791419 | Jason Lefkowitz | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-08-23 |
| 1235749185 | Jing Lun James Xu | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-08-05 |
| 1841808482 | Evgeny Romanov | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-07-20 |
| 1780201319 | Nicole Emily Arsenault | Nurse Practitioner | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-06-30 |
| 1841817590 | Joseph Clinton Mccabe | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-06-29 |
| 1730706508 | Hina Bhat | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-06-28 |
| 1902423734 | Jonathan Tong Xu | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2020-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750867909 | Natalie Teresa Dal'bo | Student in an Organized Health Care Education/Training Program | 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 | 2018-07-11 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1902240872 | Lloyd Jones Jr. | Student in an Organized Health Care Education/Training Program | 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 | 2013-04-23 |
| 1508020470 | Russell Andrew Baur | Internal Medicine | Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 | 2008-07-10 |
| 1356491237 | Jacob Magee Sands | Internal Medicine | 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 | 2007-01-11 |
| 1588757108 | Richard Alan Wold | Nurse Anesthetist, Certified Registered | Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
| 1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
| 1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
| 1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
| 1225022155 | Laura Saluja | Internal Medicine | Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 | 2005-09-07 |
| Find all providers in zip 01805 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304409 | Elizabeth Edacheril Poulose | Nurse Practitioner | 1041 Kirkpatrick Rd Ste 100, Burlington, NC 27215-8066 | 2018-11-05 |
| 1548748189 | Sarah Newman | Nurse Practitioner | 41 Mall Rd, Burlington, MA 01805-0001 | 2018-08-06 |
| 1336659259 | Brandi D Vazquez | Nurse Practitioner | 791 Boone Station Dr, Burlington, NC 27215-9775 | 2017-10-05 |
| 1639521412 | Mary Anne Kohn | Nurse Practitioner | 789 Pine St, Burlington, VT 05401 | 2016-07-06 |
| 1003286121 | Carrie Doss | Nurse Practitioner | 1409 University Dr, Suite 105, Burlington, NC 27215-8776 | 2015-10-01 |
| 1063642130 | Jessica Anna Rubio | Nurse Practitioner | 221 N Graham Hopedale Rd, Burlington, NC 27217-2971 | 2009-07-22 |
| 1891895371 | Linda M Sickorez | Nurse Practitioner | 41 Mall Rd, Burlington, MA 01805-0001 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082366 | Donna Josephine Remmes | Nurse Practitioner | 313 Franklin St, Wrentham, MA 02093-2405 | 2020-11-01 |
| 1912513714 | James Vincent Fournier | Nurse Practitioner | 50 Memorial Dr Ste 205, Leominster, MA 01453-2238 | 2020-09-17 |
| 1386259109 | Maureen Villars | Nurse Practitioner | 32 Orchard Hill Dr, Rutland, MA 01543-1778 | 2020-09-09 |
| 1639783780 | Patricia Varela | Nurse Practitioner | 48 Percival St, Dorchester, MA 02122-1992 | 2020-09-05 |
| 1578172243 | Felicia Mendonca | Nurse Practitioner | 21 Lands End Way, Swansea, MA 02777-2909 | 2020-07-28 |
| 1831716901 | Joan Tiano | Nurse Practitioner | 595 Pawtucket Blvd Ste 3, Lowell, MA 01854-2042 | 2020-07-06 |
| 1720609829 | Angelique Group | Nurse Practitioner | 4 Upland Woods Cir Unit 402, Norwood, MA 02062-3261 | 2020-04-29 |
| 1093341331 | Frew Fikru | Nurse Practitioner | 529 Washington Ave Apt 2, Revere, MA 02151-1962 | 2020-03-18 |
| 1376189084 | Dorcas Korir | Nurse Practitioner | 248 Pleasant St Unit 204, Methuen, MA 01844-7149 | 2019-11-18 |
| 1376194142 | Nicholas Davenport Biscardi | Nurse Practitioner | 6 Wells St, Gloucester, MA 01930-3423 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 01805 |
Please comment or provide details below to improve the information on DEBORAH 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.