MARY JANE SULLIVAN (NPI# 1366474165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366474165 |
| Entity Type | Individual |
| Full Name | MARY JANE SULLIVAN |
| Credential | AU.D. |
| Practice Address |
4 Library Way Durham NH 03824 |
| Mailing Address |
61 Locke Rd. Hampton NH 03842 |
| Practice Telephone | 6038625077 |
| Practice Fax Number | 6038624511 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | 299 | MA | Speech, Language and Hearing Service Providers |
| Y | 231H00000X | Audiologist | A449 | NH | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30431497 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134461593 | Mary Jane Sullivan | Registered Nurse | 100 Blassingame Rd, Health Services Dept., Greenville, SC 29605-3304 | 2013-03-25 |
| Street Address |
4 LIBRARY WAY |
| City | DURHAM |
| State | NH |
| Zip Code | 03824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227460 | Katie Lyn St. Pierre | Student in an Organized Health Care Education/Training Program | 4 Library Way, Unh Hewitt Hall, Durham, NH 03824-0485 | 2020-02-21 |
| 1922639145 | Kaeli Helen Mcphee | Student in an Organized Health Care Education/Training Program | 4 Library Way, Durham, NH 03824-3520 | 2020-01-27 |
| 1740650977 | Northeast Passage Program of The University of New Hampshire | Recreation Therapist | 4 Library Way, G-1 Hewitt Hall, Durham, NH 03824-3520 | 2015-09-30 |
| 1437390572 | Nancy C Crawford | Speech-Language Pathologist | 4 Library Way, Speech-language-hearing Clinic, Durham, NH 03824-3520 | 2009-03-19 |
| 1346445723 | Shelley Elizabeth Mulligan | Occupational Therapist | 4 Library Way, Durham, NH 03824-3520 | 2007-06-18 |
| 1194929422 | University Ssytem of New Hampshire | Clinic/Center | 4 Library Way, Hewitt Hall, Durham, NH 03824-3520 | 2007-06-12 |
| 1245450865 | Frederick C. Lewis Jr. | Speech-Language Pathologist | 4 Library Way, University of New Hampshire, Durham, NH 03824-3520 | 2007-04-26 |
| 1619195385 | Michael Richard Fraas | Speech-Language Pathologist | 4 Library Way, 151 Hewitt Hall, Durham, NH 03824-3520 | 2007-04-20 |
| 1255451787 | University of New Hampshire | Home Health | 4 Library Way, G01 Hewitt Hall, Durham, NH 03824-3520 | 2007-03-29 |
| 1194895409 | Jeanne Hughes O'sullivan | Speech-Language Pathologist | 4 Library Way, 185 Hewitt Hall, Durham, NH 03824-3520 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699170191 | Allegiant Physical Therapy LLC | Physical Therapist | 7b Mill Road, Durahm, NH 03824 | 2014-10-27 |
| 1639443872 | Joan Hastings Glutting | Psychologist | 8 Palmer Drive, Durham, NH 03824 | 2012-03-06 |
| 1851598197 | Kate Elizabeth Stimmell | Occupational Therapist | 312 Morrill Hall, 180 Main Street, University of New Hampshire, Durham, NH 03824 | 2007-06-29 |
| 1366659443 | C. Patricia Hanley | Psychologist | 13 Jenkins Ct #230 A, Durham, NH 03824 | 2007-05-17 |
| 1245445642 | Oyster River Cooperative School District | Local Education Agency (LEA) | 36 Coe Drive, Durham, NH 03824 | 2007-05-11 |
| 1477765956 | Randal George Heller | Pharmacist | 170 Tolend Rd., Barrington, NH 03824 | 2007-05-04 |
| 1073652228 | Carollyn Federico | Social Worker | 20 Madbury Road, Durham, NH 03824 | 2007-02-05 |
| 1568513976 | Suellen O Drake | Nurse Practitioner | 13 Jenkins Ct Ste 247, Durham, NH 03824 | 2007-01-13 |
| 1265531537 | Maxi Drug North Inc | Durable Medical Equipment & Medical Supplies | 5 Mill Road, Unit G, Durham, NH 03824 | 2006-09-22 |
| 1003911082 | Wesley A Merritt | Chiropractor | 13 Jenkins Ct, Durham, NH 03824 | 2006-09-14 |
| Find all providers in zip 03824 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073008793 | Jennifer Kathryn Rollinson | Audiologist | Duke University & Health System 40 Duke Medicine Circle, Durham, NC 27710-0001 | 2018-06-25 |
| 1386173631 | Alexa Hornik | Audiologist | 234 Crooked Creek Pkwy Fl 5, Durham, NC 27713 | 2017-06-09 |
| 1619315280 | Krista Michelle Roper | Audiologist | 40 Duke Medicine Circle, Clinic 1-i, Durham, NC 27710-0001 | 2013-06-05 |
| 1235430430 | Alicia Lehnes Cristobal | Audiologist | 1515 W Nc Highway 54 Ste 100, Durham, NC 27707-5575 | 2010-11-04 |
| 1508182270 | Justin Edward Schulz | Audiologist | Dumc 155 Baker House, Box 3887, Durham, NC 27710-0001 | 2010-04-20 |
| 1528220217 | Karma Aurelia Tockman | Audiologist | Box 3887 - Dumc, Durham, NC 27710-6271 | 2008-06-25 |
| 1902977234 | Melanie Susan O'brien | Audiologist | Dumc 3887, 1701 Clinic 1-i, Trent Drive, Durham, NC 27710-0001 | 2006-11-10 |
| 1831151778 | Maxine Robbins Parris | Audiologist | 1441 Colewood Dr, Durham, NC 27705-1820 | 2006-04-05 |
| 1235757659 | Shelby Taylor Matthews | Audiologist | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2020-07-13 |
| 1184240053 | Brettelyn Knell Little | Audiologist | 1515 W Nc Highway 54 Ste 100, Durham, NC 27707-5575 | 2020-06-17 |
| Find all providers in DURHAM | ||||
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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.