AMY SULLIVAN (NPI# 1275145369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275145369 |
| Entity Type | Individual |
| Full Name | AMY SULLIVAN |
| Credential | NP |
| Practice Address |
4011 Gateway Blvd Newburgh IN 47630-8947 |
| Mailing Address |
Po Box 3407 Evansville IN 47733-3407 |
| Practice Telephone | 8128423082 |
| Practice Fax Number | 8128424727 |
| Mailing Telephone | 8124506815 |
| Mailing Fax Number | 8124506822 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71010417A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609057298 | Amy L Sullivan | Dietitian, Registered | 4905 Havana Dr, Pittsburgh, PA 15239-2401 | 2007-11-24 |
| 1922028166 | Amy E Sullivan | Obstetrics & Gynecology | University of Utah Hospital Clinics Dept of Ob/gyn, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2006-07-20 |
| 1396389813 | Amy Sullivan | Speech-Language Pathologist | 811 Keylon St, Manchester, TN 37355-2413 | 2019-10-29 |
| 1063990380 | Amy Sullivan | Speech-Language Pathologist | 1326 Church St, Zachary, LA 70791-2743 | 2018-07-30 |
| 1801328596 | Amy Lynn Sullivan | Speech-Language Pathologist | 4050 Avon Rd, Geneseo, NY 14454-9721 | 2017-03-31 |
| 1124488796 | Amy E Sullivan | Physical Therapist | 41 Sanderson Road, Suite 101, Smithfield, RI 02917-2611 | 2016-02-25 |
| 1417328915 | Amy Sullivan | Counselor | 705 Washington St, Ravenswood, WV 26164-1729 | 2015-10-10 |
| 1053735639 | Amy Sullivan | Nurse Practitioner | 5830 Highway 5, Cabot, AR 72023-7328 | 2014-02-18 |
| 1124450721 | Amy Beth Sullivan | Case Manager/Care Coordinator | 1250 Kirts Blvd Ste 300, Troy, MI 48084-4855 | 2013-08-06 |
| 1003151663 | Amy Lee Sullivan | Social Worker | 96 South St, Ware, MA 01082-1616 | 2012-12-06 |
| Street Address |
4011 GATEWAY BLVD |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-8947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194703959 | Maria C Ranola | Pediatrics | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2006-01-03 |
| 1649818394 | Allyson Alloway | Pharmacist | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2019-12-12 |
| 1194377424 | Emily Morehead | Dietitian, Registered | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2019-07-16 |
| 1376031468 | Deaconess Hospital, Inc | Health Educator | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2018-04-25 |
| 1871013698 | Emily Lentz | Speech-Language Pathologist | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2017-06-22 |
| 1649400623 | Michelle L Simon | Physical Therapy Assistant | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2009-07-23 |
| 1720214166 | Jamie Kostrzebski | Occupational Therapist | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2009-05-29 |
| 1205000908 | Ryan Christopher Tomlinson | Anesthesiology | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2008-04-15 |
| 1548469331 | Mary Ann E Palmer | Speech-Language Pathologist | 4011 Gateway Blvd, Newburgh, IN 47630 | 2007-07-12 |
| 1851511745 | Deaconess Hospital, Inc | Physical Medicine & Rehabilitation | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2007-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356604268 | Sara K Dillon | Nurse Practitioner | 4133 Gateway Blvd Ste 220, Newburgh, IN 47630-7918 | 2012-06-18 |
| 1154577609 | Deaconess Hospital, Inc | Nurse Practitioner | 10455 Orthopaedic Drive, Newburgh, IN 47630 | 2008-08-15 |
| 1962665588 | Deaconess Hospital Inc | Nurse Practitioner | 4107 Gateway Blvd, Newburgh, IN 47630-8954 | 2008-07-03 |
| 1467622084 | Deirdre Mae Micker | Nurse Practitioner | 9 Hdsn Vly Prof Plz, Newburgh, NY 12550-3150 | 2008-03-11 |
| 1568630127 | Eric L Glines | Nurse Practitioner | 4015 Gateway Blvd Ste 2120, Newburgh, IN 47630-9460 | 2008-02-18 |
| 1154514941 | Darla Speigner | Nurse Practitioner | 100 St Marys Epworth Xing Ste B100, Newburgh, IN 47630-9161 | 2007-08-24 |
| 1184672628 | Jacki L Wildeman | Nurse Practitioner | 4007 Gateway Blvd # 100, Newburgh, IN 47630-8947 | 2006-05-05 |
| 1316915978 | Karen R Brossman Bass | Nurse Practitioner | 8599 High Pointe Dr, Newburgh, IN 47630 | 2006-03-09 |
| 1598767915 | Susan Denise Mcdowell | Nurse Practitioner | 4133 Gateway Blvd, Suite 220, Newburgh, IN 47630-7953 | 2005-08-15 |
| 1487266326 | Tarah Bracher | Nurse Practitioner | 4133 Gateway Blvd Ste 290, Newburgh, IN 47630-7918 | 2020-08-21 |
| Find all providers in NEWBURGH | ||||
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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.