MR. SEAN PATRICK SULLIVAN (NPI# 1265495857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265495857 |
| Entity Type | Individual |
| Full Name | MR. SEAN PATRICK SULLIVAN |
| Credential | RN |
| Practice Address |
141 Lakeshore Dr Unit A6 Racine WI 53403-9653 |
| Mailing Address |
4111 N 83rd St Milwaukee WI 53222-1805 |
| Practice Telephone | 2625520229 |
| Mailing Telephone | 4143794748 |
| Mailing Fax Number | 4144618772 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194366070 | Sean Alyston Sullivan | Case Manager/Care Coordinator | 1645 Mountainman Loop, Anchorage, AK 99507-1975 | 2019-10-02 |
| 1750421830 | Sean Timothy Sullivan | Dentist | 18625 Hoich Dr, Omaha, NE 68136-1233 | 2007-02-07 |
| 1093316929 | Sean Sullivan | Pharmacist | 5000 W Pauline Whitaker Pkwy, Rogers, AR 72758-9104 | 2020-11-06 |
| 1043872138 | Sean Sullivan | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098 | 2019-06-28 |
| 1063906071 | Sean Sullivan | Nurse Practitioner | 209 S State St, Ann Arbor, MI 48104-2005 | 2018-06-22 |
| 1477057958 | Sean Harry Sullivan Jr. | Surgery | 251 E Huron St, Chicago, IL 60611 | 2018-03-20 |
| 1881064970 | Sean Sullivan | Physical Therapist | 30 Broad St, Floor 12, New York, NY 10004-2304 | 2015-10-01 |
| 1932596772 | Sean Patrick Sullivan | Pediatrics | 3901 Beaubien St, Detroit, MI 48201 | 2015-04-20 |
| 1669871604 | Sean Raymond Sullivan | Physical Therapist | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2014-08-15 |
| 1023440401 | Sean Sullivan | Pharmacist | 1607 Way St, Reidsville, NC 27320-5748 | 2013-08-07 |
| Street Address |
141 LAKESHORE DR UNIT A6 |
| City | RACINE |
| State | WI |
| Zip Code | 53403-9653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676259 | Quality Care LLC | Clinic/Center | 2051 Mead St, Racine, WI 53403 | 2019-09-02 |
| 1073999355 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 6150 Taylor Avenue, Racine, WI 53403 | 2015-08-10 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1811278054 | Michelle Gloria Parisot | Psychologist | 1320 Wisconsin Ave., Racine, WI 53403 | 2011-09-01 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1043431570 | Rita S Harris | Physical Therapy Assistant | Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 | 2007-05-01 |
| 1336281336 | Linda J Hockensmith | Occupational Therapist | 4214 Sheridan Road, Racine, WI 53403 | 2007-02-13 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| 1689760332 | Lester Leslie Higgenbottom | Counselor | 1820 Arlington Ave, Racine, WI 53403 | 2006-10-04 |
| 1114942315 | Access Medical Center, LLC | Clinic/Center | 4216 Old Green Bay Rd, Racine, WI 53403 | 2006-07-12 |
| Find all providers in zip 53403 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093260390 | Amy Connelly | Registered Nurse | 2317 Orchard St, Racine, WI 53405-4011 | 2016-08-17 |
| 1871947044 | Joann Saunders | Registered Nurse | 2744 Chicory Rd, Racine, WI 53403-4011 | 2016-04-14 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1215348438 | Lisa Clack | Registered Nurse | 3435 Daisy Ln, Racine, WI 53405-4605 | 2014-05-09 |
| 1881012862 | Sharon Stark | Registered Nurse | 46450 Morning Star Rd, Racine, OH 45771-9522 | 2014-04-07 |
| 1477974251 | Douglas Plagemann | Registered Nurse | 219 Blaine Ave, Racine, WI 53405-2009 | 2013-12-23 |
| 1083968010 | Veronique Gettis | Registered Nurse | 5021 Byrd Ave, 201, Racine, WI 53406-4878 | 2012-10-29 |
| 1487907903 | Stephanie Burks | Registered Nurse | 4300 Pine Ridge Cir, Racine, WI 53403-4027 | 2012-10-22 |
| 1821345455 | Derek Quella | Registered Nurse | 2000 Domanik Dr, Racine, WI 53404-2910 | 2012-08-14 |
| 1881960607 | Amanda Kate Hartig | Registered Nurse | 2709 Dwight St, Racine, WI 53403-2965 | 2012-03-27 |
| Find all providers in RACINE | ||||
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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.