MEGAN KELLY SULLIVAN (NPI# 1174008312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174008312 |
| Entity Type | Individual |
| Full Name | MEGAN KELLY SULLIVAN |
| Practice Address |
56 Pond St Douglas MA 01516-2029 |
| Practice Telephone | 5089540998 |
| Mailing Telephone | 5089540998 |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345049 | Megan Shannon Sullivan | Student in an Organized Health Care Education/Training Program | 167 Glendale St, Uxbridge, MA 01569-2124 | 2020-08-06 |
| 1083196406 | Megan Sullivan | Physical Therapy Assistant | 3892 Bakerton Rd., Harpers Ferry, WV 25425 | 2018-09-01 |
| 1760904692 | Megan Sullivan | Social Worker | 1405 Willow Ave., Western Springs, IL 60558 | 2017-07-12 |
| 1811399413 | Megan R. Sullivan | Chiropractor | 278 W. Douglas Ave, Wichita, KS 67203-6104 | 2014-09-25 |
| 1760735948 | Megan Marie Sullivan | Social Worker | 1128 Vestal Ave, Binghamton, NY 13903-1528 | 2012-10-24 |
| 1417078551 | Megan Sullivan | Physical Therapist | 525 Polk St, Hugoton, KS 67951 | 2007-04-03 |
| 1538760020 | Megan Sullivan | Registered Nurse | 85 N Grand Ave, Fort Thomas, KY 41075-1793 | 2020-11-03 |
| 1669071395 | Megan Sonja Sullivan | Nurse Practitioner | 660 S 200 E Ste 250, Salt Lake City, UT 84111-3846 | 2020-10-23 |
| 1336767458 | Megan Sullivan | Family Medicine | 194a Pleasant St, Concord, NH 03301-2903 | 2020-07-07 |
| 1366069833 | Megan Riley Sullivan | Optometrist | 1514 E Belt Line Rd, Carrollton, TX 75006-6369 | 2020-07-01 |
| Street Address |
56 POND ST |
| City | DOUGLAS |
| State | MA |
| Zip Code | 01516-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922127059 | Blackstone Valley Natural Health Center, P.C. | Chiropractor | 271 Main St., Douglas, MA 01516 | 2007-03-28 |
| 1891827762 | Deborah Ann Kuenzel | Chiropractor | 271 Main St., Douglas, MA 01516 | 2007-03-09 |
| 1053451526 | Town of Douglas | Ambulance | 64 Main Street, Douglas, MA 01516 | 2007-02-07 |
| 1134694920 | Anne B Stefaniak | Social Worker | 10 Pleasant St, Douglas, MA 01516-0075 | 2018-10-08 |
| 1619995230 | Barbara Taipale Scanlon | Dentist | 341 Main St., Douglas, MA 01516-1047 | 2006-07-18 |
| 1528315140 | Carol A Mcdonald | Physical Therapy Assistant | 54 Pond Street, Box1132, Douglas, MA 01516-1132 | 2012-08-14 |
| 1639351091 | Craig Joseph Montminy | Skilled Nursing Facility | 26 North St, #409, East Douglas, MA 01516-2060 | 2007-11-28 |
| 1396365524 | Emily Carroll | Physician Assistant | 20 Wixtead Ct, Douglas, MA 01516-2090 | 2020-04-17 |
| 1154862209 | Clp Enterprises Inc. | Home Health | 147 West St, Douglas, MA 01516-2120 | 2017-03-09 |
| 1255604369 | Danya Lee Butterfield | Counselor | 53 Birch St, Douglas, MA 01516-2131 | 2012-02-21 |
| Find all providers in zip 01516 | ||||
| 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 |
|---|---|---|---|---|
| 1821656224 | Samantha Jolyn Cole | Specialist/Technologist | 150 Irvine Bridge Rd, Douglas, WY 82633-8914 | 2019-05-31 |
| 1215330279 | Benjamin Swafford | Specialist/Technologist | 159 Trojan Way, Douglas, GA 31533-8263 | 2014-10-06 |
| 1457752115 | Lamar Richard Innes | Specialist/Technologist | 4190 W Highway 80, Douglas, AZ 85607-6100 | 2014-09-11 |
| 1891105011 | Jenna Walker | Specialist/Technologist | 1701 Hamilton St, Douglas, WY 82633-2781 | 2014-04-28 |
| 1861454191 | Mitchell Paul Nelson | Specialist/Technologist | 1500 E 15th St, Douglas, AZ 85607-1731 | 2006-04-03 |
| 1184612756 | Jeffrey Philip Weems | Specialist/Technologist | 178 Fox Ridge Rd, Douglas, GA 31535-5628 | 2005-10-07 |
| 1669094033 | Sierra Lynn Williams | Specialist/Technologist | 4190 W Highway 80, Douglas, AZ 85607-6190 | 2020-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225682 | Jacob Hebert | Specialist/Technologist | 177 Wenonah Rd, Longmeadow, MA 01106-1929 | 2020-11-03 |
| 1700486693 | Mark Comstock | Specialist/Technologist | 74 Union Park St, Boston, MA 02118-2142 | 2020-10-29 |
| 1962000422 | Allison Damigella | Specialist/Technologist | 20 Cobblestone Ln, Bridgewater, MA 02324-2277 | 2020-10-15 |
| 1669088712 | Ryan Donovan | Specialist/Technologist | 4 Paul Ave, Peabody, MA 01960-2620 | 2020-09-23 |
| 1619583119 | Seth Travers | Specialist/Technologist | 179 Wimbleton Dr, Longmeadow, MA 01106-2744 | 2020-09-20 |
| 1306451091 | Stephanie Wilson | Specialist/Technologist | 315 Turnpike St Stop 2247, North Andover, MA 01845-5800 | 2020-09-10 |
| 1467067116 | Devon Choi | Specialist/Technologist | Merrimack College, 315 Turnpike St, North Andover, MA 01845-0184 | 2020-09-10 |
| 1295349140 | Katelyn Charlotte Richardson | Specialist/Technologist | 2002 Lords Ct, Wilmington, MA 01887-4514 | 2020-09-08 |
| 1386256360 | William Conrad Desjardins | Specialist/Technologist | 20 Manhattan Dr, Burlington, MA 01803-1905 | 2020-08-20 |
| 1942812128 | Samantha Norman Kheboian | Specialist/Technologist | 71 Lakeshore Ave, Beverly, MA 01915-1907 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
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| 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.