BRIANNA SULLIVAN (NPI# 1205241437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205241437 |
| Entity Type | Individual |
| Full Name | BRIANNA SULLIVAN |
| Credential | PA |
| Practice Address |
6600 Bruceville Rd Sacramento CA 95823-4671 |
| Practice Telephone | 9166886428 |
| Mailing Telephone | 9166886428 |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA51702 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 975 S Fairmont Ave, Lodi, CA 952405118 | 2093343411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083164909 | Brianna Sullivan | Physical Therapist | 26 Springhill Rd, Framingham, MA 01701-7770 | 2016-10-04 |
| 1871194878 | Brianna Katherine Sullivan | Pharmacist | 5433 Reidland Rd, Paducah, KY 42003-0954 | 2020-11-05 |
| 1558984898 | Brianna Hohman Sullivan | Physical Therapist | 3509 Granby St Ste B, Norfolk, VA 23504-1312 | 2020-05-21 |
| 1275042731 | Brianna Carnes Sullivan | Nurse Practitioner | 317 W Gaines St, Lawrenceburg, TN 38464-3604 | 2017-09-27 |
| 1861807398 | Brianna Marie Sullivan | Speech-Language Pathologist | 12794 Forest Hill Blvd, Wellington, FL 33414-4710 | 2014-06-23 |
| Street Address |
6600 BRUCEVILLE RD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-4671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254295 | Lon Jacobus Taff | Obstetrics & Gynecology | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2005-09-08 |
| 1770195232 | Alexi Taylor Spoto | Pharmacist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-08-17 |
| 1134747306 | Poline Chhun Engeman X | Nurse Practitioner | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-07-13 |
| 1659904365 | Regan Watson | Nurse Practitioner | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-20 |
| 1740813443 | Caitlin Elizabeth Galvez | Physical Therapist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-20 |
| 1750912119 | Maria Monserrat Perez | Registered Nurse | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-03 |
| 1699312645 | Kayla Renee Hazel | Speech-Language Pathologist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-12-09 |
| 1366087553 | Michelle Schiltz | Registered Nurse | 6600 Bruceville Rd, Sacramento, CA 95823 | 2019-11-12 |
| 1013564145 | Katheirne Anne Lloyd | Dietitian, Registered | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-08-22 |
| 1699320077 | Sarah Lackey | Physical Therapist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| 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 |
|---|---|---|---|---|
| 1689271587 | Vera Pavlovna Kondrashov | Physician Assistant | 1860 Howe Ave Ste 455, Sacramento, CA 95825-1086 | 2020-10-04 |
| 1861017691 | Kathryn Anne Pashalides | Physician Assistant | 1400 57th St, Sacramento, CA 95819-4205 | 2020-06-08 |
| 1396369567 | Isabelle Shapiro | Physician Assistant | 1411 U St, Sacramento, CA 95818-1416 | 2020-06-03 |
| 1487276382 | Ndaya Briana Kalambay | Physician Assistant | 3910 Auburn Blvd Apt 68, Sacramento, CA 95821-2130 | 2020-05-13 |
| 1053942888 | Eduardo Sevilla | Physician Assistant | 8129 Polo Crosse Ave, Sacramento, CA 95829-6546 | 2020-01-30 |
| 1316582695 | Lauren Hunter | Physician Assistant | 6600 Bruceville Rd Rm 1h5, Sacramento, CA 95823-4671 | 2019-11-11 |
| 1942841176 | Kimia Ighani | Physician Assistant | 3429 2nd Ave, Sacramento, CA 95817-2802 | 2019-09-29 |
| 1386290195 | Anthony Menacho | Physician Assistant | 2472 Larkspur Ln Apt 363, Sacramento, CA 95825-4153 | 2019-08-16 |
| 1891341178 | Ebtesam Gerges | Physician Assistant | 4411 4th Ave Apt B, Sacramento, CA 95817-3059 | 2019-08-13 |
| 1295392488 | Shea L Smith | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-05-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
Please comment or provide details below to improve the information on BRIANNA 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.