MARLENE RENEE' SULLIVAN (NPI# 1285791657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285791657 |
| Entity Type | Individual |
| Full Name | MARLENE RENEE' SULLIVAN |
| Credential | L.M.T. |
| Practice Address |
933 W. 3rd Ave Suite 214 Spokane WA 99201 |
| Mailing Address |
933 W. 3rd Ave. Suite 214 Spokane WA 99201 |
| Practice Telephone | 5092302112 |
| Practice Fax Number | 5097475443 |
| Mailing Telephone | 5092302112 |
| Mailing Fax Number | 5097475443 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA00011043 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 118072 | 01 |
| WA | MASSAGE THERAPIST | MA00011043 | 01 |
| Street Address |
933 W. 3RD AVE SUITE 214 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517952 | Maria Escobedo | Counselor | 1321 N. Ash, Spokane, WA 99201 | 2020-10-29 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1811594658 | Kaaren Goeller-bloom | Counselor | 106 West Mission, Spokane, WA 99201 | 2020-10-05 |
| 1649732793 | Marsha Rose Valenzuela | Peer Specialist | Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 | 2019-04-05 |
| 1770047896 | Rachel Nicole Burns | Counselor | 1321 W. Broadway Ave, Spokane, WA 99201 | 2019-01-23 |
| 1760953384 | Nicole Renee Breesnee | Counselor | 2308 W. 3rd Ave, Spokane, WA 99201 | 2018-12-07 |
| 1083184675 | Alicia L Paschall | Counselor | 222 S Howard St, Apt 310, Spokane, WA 99201 | 2018-11-27 |
| 1003383159 | Sandra Kay Robinson | Counselor | New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 | 2018-10-26 |
| 1801361191 | Michael Joseph Lehman | Naturopath | 316 W Boone Ave Ste 777, Spokane, WA 99201 | 2018-10-12 |
| 1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
| Find all providers in zip 99201 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811358310 | Gwendolyn Ammon | Specialist | 3910 N Wall St, #2, Spokane, WA 99205-5021 | 2016-03-10 |
| 1215319900 | Sarah Wood | Specialist | 8606 N Wall St Ste 200, Spokane, WA 99218-2034 | 2015-06-18 |
| 1801289970 | Amanda Kasper | Specialist | 619 W Persimmon Ln, Spokane, WA 99224-8435 | 2015-03-12 |
| 1306288170 | Orthopaedic Neurologic Evaluations | Specialist | 8506 N Wall St, Spokane, WA 99208-6164 | 2013-07-22 |
| 1932549813 | Loree Kidder | Specialist | 2112 W Mallon Ave, Spokane, WA 99201-1660 | 2013-06-25 |
| 1225377872 | Teresa Lynn Skinner | Specialist | 3407 W 7th Ave, Spokane, WA 99224-1905 | 2013-02-01 |
| 1598018855 | Clarisa Marie Schielke | Specialist | 5222 S Magnolia St, Spokane, WA 99223-6529 | 2012-10-23 |
| 1952654865 | Laura May Hamilton | Specialist | 200 North Bernard, Spokane Public Schools, Administration, Spokane, WA 99201-0206 | 2012-10-17 |
| 1699028514 | Milisa Mary Bailey | Specialist | 1001 E Montgomery Ave, Spokane, WA 99207-2674 | 2012-10-16 |
| 1003170523 | Angelo G. Lurus | Specialist | 5805 E 21st Ave, Spokane, WA 99223-2308 | 2012-06-29 |
| Find all providers in SPOKANE | ||||
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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.