MRS. KRISTIN MARIE SULLIVAN (NPI# 1194076620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194076620 |
Entity Type | Individual |
Full Name | MRS. KRISTIN MARIE SULLIVAN |
Credential | PA-C |
Practice Address |
125 Parker Hill Ave Converse 4 Boston MA 02120-2847 |
Practice Telephone | 6177546025 |
Practice Fax Number | 6177546026 |
Mailing Telephone | 6177546025 |
Mailing Fax Number | 6177546026 |
Enumeration Date | 2012-09-24 |
Last Update Date | 2017-01-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA4454 | MA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417349275 | Kristin Sullivan | Registered Nurse | 1145 S Utica Ave Ste 460, Tulsa, OK 74104-4041 | 2015-03-03 |
1154767853 | Kristin Anne Sullivan | Developmental Therapist | 6 Southside Rd, Danvers, MA 01923-1409 | 2013-05-21 |
1326380064 | Kristin Sullivan | Behavioral Analyst | 3170 E Sunset Rd, Suite A, Las Vegas, NV 89120-2745 | 2013-03-20 |
1063698066 | Kristin Sullivan | Physical Therapist | 1 Park Ave, Suite F, Mount Airy, MD 21771-5437 | 2008-01-21 |
Street Address |
125 PARKER HILL AVE CONVERSE 4 |
City | BOSTON |
State | MA |
Zip Code | 02120-2847 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649896382 | Stephan C Bruni | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2020-06-18 |
1326675315 | Pdc Spine PC | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2020-03-27 |
1558911248 | Sara Flynn Gosselin | Pharmacist | 125 Parker Hill Ave, Boston, MA 02120 | 2019-09-16 |
1104486133 | Amanda Thomas | Pharmacist | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2019-06-20 |
1376021758 | Dawn Kalloch Murphy | Social Worker | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-30 |
1962980342 | Carla Susan Hill | Social Worker | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-30 |
1629555784 | Katherine Rose Bellanti | Registered Nurse | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-23 |
1184100802 | Ajb Orthopedics, Pllc | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-16 |
1346758380 | Michelle Anne Doherty | Nurse Practitioner | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-01-11 |
1508370974 | Ashley Margaret Wolusky | Nurse Practitioner | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2017-11-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083244735 | Alicia Hoffman | Occupational Therapist | 71 Alleghany Street, Boston, MA 02120 | 2020-01-22 |
1376193110 | Katherine Wiley | Student in an Organized Health Care Education/Training Program | 71 Allegheny Street, Boston, MA 02120 | 2019-09-13 |
1073171971 | Kyana Figueroa | Community/Behavioral Health | 4 Sussex St, Roxbury, MA 02120 | 2019-06-05 |
1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
1811424005 | Christopher Lim | Student in an Organized Health Care Education/Training Program | 1620 Tremont St, One Brigham Circle, Radiology Administration, Boston, MA 02120 | 2017-05-18 |
1609328178 | Nikhil A Sangave | Pharmacist | 1290 Tremont St Fl 3, Boston, MA 02120 | 2016-10-31 |
1417232968 | Hrc Corp Inc | Pharmacy | 201 Humboldt Avenue, Dorchester, MA 02120 | 2011-10-17 |
1689957722 | Hrd Corp, Inc | Pharmacy | 201 Humboldt Ave, Dorchester, MA 02120 | 2011-09-26 |
1841580453 | Alessandro Villa | Dentist | 1620 Tremont Street, Suite Bc-3-028, Division of Oral Medicine & Dentistry Bwh, Boston, MA 02120 | 2011-04-15 |
1043446859 | Sara King | Internal Medicine | 1290 Tremont Street, Boston, MA 02120 | 2009-06-08 |
Find all providers in zip 02120 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205435393 | Allison Lee Nocon | Physician Assistant | 289 Beacon St Apt 8, Boston, MA 02116-1263 | 2020-10-20 |
1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
1639781230 | Amanda Mae Saxton | Physician Assistant | 1410 Columbia Rd Apt 8g, Boston, MA 02127-4016 | 2020-08-17 |
1336757137 | Sabrina J Jamiel | Physician Assistant | 144 Calumet St Apt 3, Boston, MA 02120-3378 | 2020-07-17 |
1811505969 | Matthew George Cronin | Physician Assistant | 105 Landseer St, Boston, MA 02132-3436 | 2020-07-15 |
1902420284 | Rebecca Lee | Physician Assistant | 89 Chester St Apt A5, Boston, MA 02134-2219 | 2020-06-03 |
1982239430 | Catherine Dam | Physician Assistant | 357 Commercial St Apt 420, Boston, MA 02109-1236 | 2020-03-05 |
1033742390 | Melissa Stathas | Physician Assistant | 32 Fruit St Bldg 5th, Boston, MA 02114-2620 | 2020-02-14 |
1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
1275184905 | Danielle Dacunha | Physician Assistant | 42 Worcester Sq Apt 10, Boston, MA 02118-2920 | 2019-09-24 |
Find all providers in BOSTON |
Please comment or provide details below to improve the information on MRS. KRISTIN MARIE 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.