MRS. KRISTIN MARIE SULLIVAN


Address: 125 Parker Hill Ave, Converse 4, Boston, MA 02120-2847
Phone: 6177546025

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA4454 MA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KRISTIN SULLIVAN

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

Office Location

Street Address 125 PARKER HILL AVE
CONVERSE 4
City BOSTON
State MA
Zip Code 02120-2847

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City BOSTON
Zip Code 02120

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Dataset Information

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.

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