KRISTEN T SULLIVAN (NPI# 1366675563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366675563 |
| Entity Type | Individual |
| Full Name | KRISTEN T SULLIVAN |
| Other Name | KRISTEN M TOCZYDLOWSKI |
| Credential | PNP |
| Practice Address |
1919 E Thomas Rd Phoenix AZ 85016-7710 |
| Mailing Address |
3200 E Camelback Rd Ste 250 Phoenix AZ 85018-2327 |
| Practice Telephone | 6029332693 |
| Practice Fax Number | 6029332697 |
| Mailing Telephone | 6029331814 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2018-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
RN159067 | AZ | Nursing Service Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP3435 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
AP3435 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 471784 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427405323 | Kristen Sullivan | Counselor | 36 Woburn St, Reading, MA 01867-2973 | 2016-05-20 |
| 1497003230 | Kristen Sullivan | Psychologist | 200 S Wells Rd Ste 200, Ventura, CA 93004-1377 | 2012-08-28 |
| 1710255021 | Kristen Rudick Sullivan | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2011-12-01 |
| 1194003293 | Kristen D Sullivan | Student in an Organized Health Care Education/Training Program | 8001 Sw 36th St, Suite 9, Davie, FL 33328-1915 | 2011-07-25 |
| 1134414865 | Kristen Nicole Sullivan | Dentist | 5675 N Front St, Suite 50, Philadelphia, PA 19120 | 2011-06-10 |
| 1891927836 | Kristen Gallup Sullivan | Occupational Therapist | 100 N Mario Capecchi Dr, Inpatient Rehab, Salt Lake City, UT 84113-1103 | 2009-08-10 |
| 1265692990 | Kristen Sullivan | Counselor | 190 Lenox St, Norwood, MA 02062-3416 | 2008-06-16 |
| 1174732580 | Kristen Kelly Sullivan | Physical Therapist | 596 Sheldon Rd, Saint Albans, VT 05478-8011 | 2007-05-22 |
| 1679505887 | Kristen D. Sullivan | Audiologist | 3 Allds St, Nashua, NH 03060-4711 | 2006-07-07 |
| Street Address |
1919 E THOMAS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-7710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162953 | Richard N Southard | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2005-05-31 |
| 1265049472 | Chelsea Agricola | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-09-30 |
| 1871109686 | Madeline Rose Mcnamee | Audiologist | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-09-17 |
| 1699380212 | Lindsey N Manz | Dietitian, Registered | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-09-10 |
| 1376156331 | Jena Paige Buck | Occupational Therapist | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-28 |
| 1386257244 | Alia Torfa | Registered Nurse | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-28 |
| 1336751999 | Cassandra E Martinez | Registered Nurse | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-17 |
| 1811508708 | Clara A Hart | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-08-13 |
| 1811505571 | Daniela M Giralt | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-07-20 |
| 1902424179 | Soren B Mickelsen | Speech-Language Pathologist | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881191278 | Jodi Lynn Murati | Nurse Practitioner | 36002 N 30th Ave, Phoenix, AZ 85086-2255 | 2018-04-11 |
| 1952684201 | Molly Kathryn King | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2011-09-22 |
| 1093025777 | Meredith P Samson | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2010-10-15 |
| 1518286723 | Susan N Romero | Nurse Practitioner | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2010-05-27 |
| 1497784565 | Stacey J Grohall | Nurse Practitioner | 1919 E Thomas Rd, Main Building, Phoenix, AZ 85016-7710 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063756674 | Heather Kathryn Gabaree | Nurse Practitioner | 1430 N Cooper Rd Ste 101, Gilbert, AZ 85233-1242 | 2012-11-20 |
| 1134591035 | Renae Merz | Nurse Practitioner | 1400 S Dobson Rd, Mesa, AZ 85202-4707 | 2015-10-30 |
| 1992145676 | Tara Lenore Salce | Nurse Practitioner | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2013-06-26 |
| 1225331127 | Katherine Marie Harrison | Nurse Practitioner | 1432 S Dobson Rd, 301, Mesa, AZ 85202-4768 | 2010-12-15 |
| 1417022997 | Lisa M Wispe | Nurse Practitioner | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2006-11-21 |
| 1033298062 | Claire R Wells | Nurse Practitioner | 1501 N Campbell Avenue, Tucson, AZ 85724 | 2006-11-02 |
Please comment or provide details below to improve the information on KRISTEN T 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.