KEVIN JOHN SULLIVAN (NPI# 1245538669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245538669 |
| Entity Type | Individual |
| Full Name | KEVIN JOHN SULLIVAN |
| Credential | CRNA |
| Practice Address |
280 Pale San Vitores Rd Tamuning GU 96913-3615 |
| Mailing Address |
369 Farenholt Ave Tamuning GU 96913-3106 |
| Practice Telephone | 6716474542 |
| Mailing Telephone | 6717878627 |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2020-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | NP0152 | GU | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | CRNA000407 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | ARNP9237910 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003321600 | 05 | |
| FL | BCBS ATTACHED TO GRP 77329 | G00N4 | 01 |
| FL | RAILROAD MEDICARE | P01195017 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356886998 | Kevin Doerr Sullivan | Physician Assistant | 208 Cedar Creek Ter, Ione, WA 99139-5011 | 2017-01-05 |
| 1750734992 | Kevin Sullivan | Specialist/Technologist | 936 Wynn Rd, Mcdonough, GA 30252-5802 | 2016-07-22 |
| 1457508996 | Kevin A. Sullivan | Counselor | 1500 W. Main St. Ste 300, Phoenix Counseling, Sun Prairie, WI 53590 | 2008-08-27 |
| 1770638066 | Kevin Patrick Sullivan | Dentist | 305 E 2nd Ave, Ellensburg, WA 98926-3315 | 2007-01-24 |
| 1447276225 | Kevin L. Sullivan | Radiology | 250 Ponce De Leon Ave, Suite 100, Decatur, GA 30030-3406 | 2006-07-14 |
| 1750940615 | Kevin Thomas Sullivan | Dentist | 1475 Pine Grove Rd Ste 107, Steamboat Springs, CO 80487-8851 | 2019-06-13 |
| 1275196172 | Kevin Sullivan | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-04-16 |
| 1194245662 | Kevin Brian Sullivan | Military Health Care Provider | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2017-06-26 |
| 1467806125 | Kevin Sullivan | Hospitalist | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2016-04-19 |
| 1023479839 | Kevin Sullivan | Occupational Therapist | 5006 Copper Ave Ne, Albuquerque, NM 87108-1301 | 2016-03-08 |
| Street Address |
280 PALE SAN VITORES RD |
| City | TAMUNING |
| State | GU |
| Zip Code | 96913-3615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740259613 | Kia M Rahmani | Surgery | 280 Pale San Vitores Rd, Tamuning, GU 96913-3615 | 2006-03-14 |
| 1487147161 | Rest Assured Anesthesia Services, Inc. | Nurse Anesthetist, Certified Registered | 280 Pale San Vitores Rd, Tamuning, GU 96913-3615 | 2018-06-07 |
| 1780020586 | Alexandra Herrero Leon Guerrero | Surgery | 280 Pale San Vitores Rd, Tamuning, GU 96913-3615 | 2013-05-20 |
| 1376868281 | Daniel C Medina | Surgery | 280 Pale San Vitores Rd, Tamuning, GU 96913-3615 | 2010-04-02 |
| 1881929842 | Hafa Adal Specialist Group, LLP | Clinic/Center | 280 Pale San Vitores Rd, Sunflower Villa, Tamuning, GU 96913-3615 | 2009-10-08 |
| 1184892218 | Kirk Bellis | Psychiatry & Neurology | 280 Pale San Vitores Rd, Sunflower Villa Suite 205, Tamuning, GU 96913-3615 | 2008-02-12 |
| 1396925608 | Melany Camille Hughes | Surgery | 280 Pale San Vitores Rd, Hafa Adai Specialist Group, Tamuning, GU 96913-3615 | 2007-11-05 |
| 1235141060 | Hafa Specialist Group LLP | Specialist | 280 Pale San Vitores Rd, Tamuning, GU 96913-3615 | 2006-08-12 |
| 1487623856 | John A Fegurgur | Surgery | 280 Pale San Vitores Rd, Tamuning, GU 96913-3615 | 2006-03-16 |
| 1790754679 | Jitka Lom | Family Medicine | 280 Pale San Vitores Rd, Tamuning, GU 96913-3615 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126219 | Hannah Marie Sabo Laney | Behavior Technician | 212 Farenholt Ave., Tamuning, GU 96913 | 2020-02-13 |
| 1720618499 | Jacquelin Gouniai | Counselor | 121 North Sabana Drive Detcha Court, Barrigada Heights, GU 96913 | 2020-01-22 |
| 1205475753 | Gabriela Victoria Perez | Behavior Technician | 212 Farenholt Ave, Tamuning, GU 96913 | 2020-01-02 |
| 1073154944 | Quenie-mei Tuliao Fisher | Pharmacist | 790 Governor Carlos Camacho Rd, Tamuning, GU 96913 | 2019-10-02 |
| 1366090698 | Elizabeth Rabon | Technician | 251 Carnation Ave, Mangilao, GU 96913 | 2019-08-29 |
| 1467000299 | Yun Ming Lin | Pharmacist | 850 Gov. Carlos Camacho Street, Tamuning, GU 96913 | 2019-08-26 |
| 1902465354 | Anthony John Litwinchuk Jr. | Audiologist | Usnh Guam - Audiology Department, Bldg #50 Farenholt Ave, Agana Heights, GU 96913 | 2019-06-10 |
| 1124580600 | Khkn Corporation | Acupuncturist | 817 N Marine Corps Dr 109, Tamuning, GU 96913 | 2019-04-03 |
| 1700346541 | Amc Mental Health, LLC | Marriage & Family Therapist | 263 Vietnam Veterans Highway, Mangilao, GU 96913 | 2019-03-20 |
| 1295292365 | Jhaymie Lynn Salarzon Bejerana | Behavior Technician | Building 1350 #216, Upper Tumon, GU 96913 | 2019-02-26 |
| Find all providers in zip 96913 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699179531 | Shannon Marie Mccrory | Nurse Anesthetist, Certified Registered | Pmb 216, 1270 N Marine Corps Dr Ste 101, Tamuning, GUAM 96913 | 2014-10-21 |
| 1487147161 | Rest Assured Anesthesia Services, Inc. | Nurse Anesthetist, Certified Registered | 280 Pale San Vitores Rd, Tamuning, GU 96913-3615 | 2018-06-07 |
| 1841708997 | Bp Consultants, LLC | Nurse Anesthetist, Certified Registered | 850 Gov Carlos G Camacho Rd, Tamuning, GU 96913-3128 | 2018-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023003928 | Ryan Lyle Nations | Nurse Anesthetist, Certified Registered | U.S. Naval Hospital Guam Farenholt St., Building K-1, Agana Heights, GU 96919 | 2005-09-16 |
| 1275595126 | Richard M Hester | Nurse Anesthetist, Certified Registered | 133 Route 3, Dededo, GU 96929-6911 | 2006-04-05 |
| 1851360531 | Daniel Jay Crosby | Nurse Anesthetist, Certified Registered | 133 Route 3, Dededo, GU 96929-6911 | 2006-03-16 |
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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.