MISS MANDY J SULLIVAN (NPI# 1285270694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285270694 |
| Entity Type | Individual |
| Full Name | MISS MANDY J SULLIVAN |
| Credential | RN |
| Practice Address |
750 Towner St Ypsilanti MI 48198-5724 |
| Mailing Address |
555 Towner St Ypsilanti MI 48198-5723 |
| Practice Telephone | 7345443000 |
| Mailing Telephone | 7343231637 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
4704354660 | MI | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 N 4th Ave, Ann Arbor, MI 481045503 | 7342223750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992006621 | Mandy Jo Sullivan | Behavioral Analyst | 20 N 13th St, Murphysboro, IL 62966-2057 | 2010-11-11 |
| 1982960431 | Mandy Sullivan | Counselor | 635 Main St, Middletown, CT 06457-2718 | 2012-04-10 |
| Street Address |
750 TOWNER ST |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48198-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840602 | Paxxon Healthcare Services LLC | Occupational Therapist | 8100 Geddes Road, Superior Township, MI 48198 | 2019-06-13 |
| 1053885137 | Justine Altman | Health Educator | 9855 High Meadow Dr., Ypsilanti, MI 48198 | 2019-01-11 |
| 1730650516 | Mark Neumann | Driver | 1233 Hull Ave, Ypsilanti, MI 48198 | 2018-12-05 |
| 1144703810 | Douglas John Pealer | Speech-Language Pathologist | 8100 Geddes Rd, Superior Charter Township, MI 48198 | 2018-09-10 |
| 1225520919 | Kathleen M Hartwell-king Iv | Nurse Practitioner | 315 Holmes Rd, Ypsilanti, MI 48198 | 2018-05-30 |
| 1205354339 | Kawana Young | Home Health | 1811 George Ave, Ypsilanti, MI 48198 | 2017-09-09 |
| 1477009173 | Brittney Thomas | Technician, Other | 1431 Leforge Rd Apt 301, Ypsilant, MI 48198 | 2016-09-01 |
| 1528461167 | Emily Purdey | Social Worker | 8604 Pine Ct, Ypsilanti, MI 48198 | 2014-09-26 |
| 1063812550 | Harry Lee Hampton Jr. | Driver | 868 Allen St, Ypsilanti, MI 48198 | 2014-09-03 |
| 1073932760 | Ed Mcswain | Counselor | 6633 Stoney Creek Rd, Ypsilanti, MI 48198 | 2014-04-10 |
| Find all providers in zip 48198 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366893711 | Sara Straits | Registered Nurse | 555 Towner St, Ypsilanti, MI 48198-5752 | 2016-06-27 |
| 1013376979 | Dea Lancaster | Registered Nurse | 555 Towner St, Ypsilanti, MI 48198-5752 | 2016-02-19 |
| 1225376635 | Barbara A Keane | Registered Nurse | 555 Towner St, Ypsilanti, MI 48198-5752 | 2013-01-18 |
| 1114271004 | Brandy Nicole Allen | Registered Nurse | 555 Towner St, Ypsilanti, MI 48198-5752 | 2012-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518501089 | Angela Goodson | Registered Nurse | 9216 Brucedale Dr, Clarkston, MI 48346-1814 | 2019-10-29 |
| 1225671399 | Emily Caroline Cameron-hesson | Registered Nurse | 1910 Shaffer St., Kalamazoo, MI 49048-1604 | 2019-10-22 |
| 1437627643 | Karen Byrnes | Registered Nurse | Hancock Va Cboc, 787 Market St. Suite 9, Hancock, MI 49930 | 2018-11-06 |
| 1508349507 | Kaitlynn Taylor | Registered Nurse | 890 N 10th St Ste 110, Kalamazoo, MI 49009-6192 | 2018-09-14 |
| 1346755972 | Mark Christoper Tanario | Registered Nurse | 1221 E Grand Blvd, Detroit, MI 48211-3428 | 2017-12-05 |
| 1336555143 | Deborah Cheatham | Registered Nurse | 22180 Stratford St, Oak Park, MI 48237-2566 | 2014-07-01 |
| 1548670540 | Barbara Bokram | Registered Nurse | 8650 Surfwood Dr, Harbor Springs, MI 49740-9151 | 2014-04-30 |
| 1194076356 | Susan Cahillane | Registered Nurse | 14015 Tall Oaks Ct, Riverview, MI 48193-7820 | 2012-09-27 |
| 1306012778 | Sharon Denise Pittman | Registered Nurse | 5555 Conner St Ste 1000, Detroit, MI 48213-3448 | 2008-05-05 |
| 1447471362 | Catherine S Payment | Registered Nurse | 155 E Apple Ave, Muskegon, MI 49442-3463 | 2007-05-01 |
| Find all providers with the same taxonomy | ||||
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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.