COLLEEN P SULLIVAN (NPI# 1316905938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316905938 |
| Entity Type | Individual |
| Full Name | COLLEEN P SULLIVAN |
| Other Name | COLLEEN PATRICIA SULLIVAN-RUSSO |
| Credential | MSN CS C AP MHCNS AP |
| Practice Address |
10918 Elm Avenue Crittenton Childrens Center Kansas City MO 64134 |
| Mailing Address |
329 Nw Rockhill Ln Lees Summit MO 64081 |
| Practice Telephone | 8167656600 |
| Practice Fax Number | 8167674159 |
| Mailing Telephone | 8165259787 |
| Mailing Fax Number | 8165251191 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
097147 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1405842052 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348119 | Colleen Marie Sullivan | Student in an Organized Health Care Education/Training Program | 42 Mill St, Apartment 2, Dudley, MA 01571-3373 | 2013-11-29 |
| 1770916959 | Colleen Marie Sullivan | Nurse Practitioner | 12 Biltmore Ave, Chelmsford, MA 01824-3202 | 2013-08-12 |
| 1366715559 | Colleen Jean Sullivan | Licensed Practical Nurse | 173 Mutton Ln, Apt 2, East Weymouth, MA 02189-2434 | 2012-02-17 |
| 1891013785 | Colleen Sullivan | Pharmacist | 31 Garden Rd, Plaistow, NH 03865-2933 | 2010-05-17 |
| 1891764486 | Colleen J Sullivan | Registered Nurse | 142 E Van Buren St, Port Washington, WI 53074-1613 | 2006-03-16 |
| 1487298865 | Colleen Marie Sullivan | Counselor | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-10-29 |
| 1437702594 | Colleen Elizabeth Sullivan | Social Worker | 1011 Bingham St, Pittsburgh, PA 15203-1101 | 2019-07-18 |
| 1962947721 | Colleen Sullivan | Behavior Technician | 53869 Connor Dr, Chesterfield, MI 48051-3930 | 2017-01-03 |
| 1508300732 | Colleen Marie Sullivan | Occupational Therapist | 101 W 116th St, New York, NY 10026-2521 | 2016-12-07 |
| 1396111423 | Colleen Marie Sullivan | Pharmacist | 11449 W Palmetto Park Rd, Boca Raton, FL 33428-2659 | 2015-08-12 |
| Street Address |
10918 ELM AVENUE CRITTENTON CHILDRENS CENTER |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457316515 | Raghuvardhan Davalapur | Psychiatry & Neurology | 10918 Elm Avenue, Critttenton Childrens Center, Kansas City, MO 64134 | 2006-04-19 |
| 1710945399 | Stephen W Churchill | Psychiatry & Neurology | 10918 Elm Avenue, Crittenton Childrens Center, Kansas City, MO 64134 | 2006-05-03 |
| 1770541542 | Eileen Duggan | Psychiatry & Neurology | 10918 Elm Avenue, Critttenton Childrens Center, Kansas City, MO 64134 | 2006-05-02 |
| 1336105790 | Ina Shupe | Nurse Practitioner | 10918 Elm Avenue, Crittenton Children's Center, Kansas City, MO 64134 | 2006-04-25 |
| 1851357453 | Patrick S Bowman | Internal Medicine | 10918 Elm Avenue, Crittenton Childrens Center, Kansas City, MO 64134 | 2006-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376852863 | Carla Janeen Burdette | Speech-Language Pathologist | 10900 Marsh Ave., Kansas City, MO 64134 | 2010-09-30 |
| 1982733606 | Susan B Kivett | Counselor | 6801 E 117th Street, Kansas City, MO 64134 | 2007-03-06 |
| 1245392463 | Leanora Elizabeth Barreca | Counselor | 10918 Elm Ave., Ks Kansas City, MO 64134 | 2006-12-14 |
| 1700953064 | Marcia Smith Hutchins | Social Worker | 11108 Applewood Dr, Kansas City, MO 64134 | 2006-11-29 |
| 1174531016 | Tanya Elizabeth Feldkamp | Chiropractor | 11720 Blue Ridge Blvd, Kansas City, MO 64134 | 2006-08-04 |
| 1952379950 | Take Care Health Missouri, PC | Nurse Practitioner | 7003 East Bannister Road, Kansas City, MO 64134 | 2006-03-08 |
| 1437142627 | Anne Wetherill Davis | Psychiatry & Neurology | 10918 Elm, Kansas City, MO 64134 | 2005-08-24 |
| 1750945150 | Emily Sawyer | Registered Nurse | 10918 Elm Ave Ste 102, Kansas City, MO 64134 | 2019-05-01 |
| 1265989032 | Kelsey Lea Janvier | Counselor | 10918 Elm Ave Ste 102, Kansas City, MO 64134 | 2016-09-08 |
| 1083994610 | Cynthia L. Taylor | Psychologist | 10918 Elm Ave, Kansas City, MO 64134 | 2011-08-26 |
| Find all providers in zip 64134 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
| 1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
| 1427393743 | Laura Aboud | Nurse Practitioner | 2659 Peery Ave, Kansas City, MO 64127-1300 | 2012-11-28 |
| 1558970988 | John Tucker | Nurse Practitioner | 1000 E 24th St, Kansas City, MO 64108-2776 | 2020-07-31 |
| 1740809755 | Priscilla E Atu-tetuh | Nurse Practitioner | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2020-04-09 |
| 1255965000 | Sean Alan Wiest | Nurse Practitioner | 1106 E 30th St Ste B, Kansas City, MO 64109-1507 | 2020-03-02 |
| 1194367219 | Scholastica Ngozi Chidume | Nurse Practitioner | 8800 Blue Ridge Blvd, Kansas City, MO 64138-4000 | 2019-10-09 |
| 1013483031 | Elizabeth Blanchard Hills | Nurse Practitioner | 825 Euclid Ave, Kansas City, MO 64124-2323 | 2018-10-17 |
| 1437646650 | Molly Chika Oligbo | Nurse Practitioner | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2018-04-13 |
| 1881197986 | Tricia Lea Felin | Nurse Practitioner | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2018-03-14 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64134 |
Please comment or provide details below to improve the information on COLLEEN P SULLIVAN.
| 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.