SANDRA K SULLIVAN (NPI# 1386733574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386733574 |
| Entity Type | Individual |
| Full Name | SANDRA K SULLIVAN |
| Other Name | SANDRA HIGGINS |
| Credential | ARNP |
| Practice Address |
1613 N Mills Ave Orlando FL 32803-1849 |
| Practice Telephone | 4078944474 |
| Practice Fax Number | 4078947136 |
| Mailing Telephone | 4078944474 |
| Mailing Fax Number | 4078947136 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | ARNP 1525192 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP1525192 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457468241 | Sandra Jane Sullivan | Chiropractor | 2929 N Galloway Ave, Ste 109, Mesquite, TX 75150-6364 | 2006-08-25 |
| 1073851663 | Sandra Judd Sullivan | Psychologist | 155 Bovet Rd, Suite 404, San Mateo, CA 94402-3108 | 2013-01-16 |
| 1588963490 | Sandra Sullivan | Physician Assistant | 3497 Duluth Park Ln, Suite 200, Duluth, GA 30096-3227 | 2011-03-17 |
| 1366744286 | Sandra Sullivan | Registered Nurse | 50 Sanatorium Rd, Bldg F, Pomona, NY 10970-3555 | 2010-11-29 |
| 1639487952 | Sandra Eberle Sullivan | Nurse Practitioner | 320 Santa Fe Dr, Suite 308, Encinitas, CA 92024-5138 | 2010-09-21 |
| 1154541639 | Sandra Sullivan | Registered Nurse | 1207 E Herndon Ave, Fresno, CA 93720-3235 | 2007-04-26 |
| 1225253909 | Sandra Kay Sullivan | Counselor | 670 Placerville Dr Ste 2, Placerville, CA 95667-4200 | 2007-04-16 |
| 1700913035 | Sandra J Sullivan | Dietitian, Registered | 900 Main St, Oakville, CT 06779-1999 | 2007-02-27 |
| 1003967407 | Sandra J Sullivan | Physician Assistant | 41 Mall Rd, Burlington, MA 01805-0001 | 2007-01-15 |
| 1770524829 | Sandra E Sullivan | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-09 |
| Street Address |
1613 N MILLS AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932105558 | Florida Heart Group | Internal Medicine | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2005-06-28 |
| 1740847144 | Boni May | Registered Nurse | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2019-05-22 |
| 1962966622 | Steven Andrew Wick | Internal Medicine | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2019-01-28 |
| 1851762082 | Danielle C Smith | Nurse Practitioner | 1613 N Mills Ave, Orlando, FL 32803 | 2015-10-14 |
| 1639447360 | Pavan Vishnubhai Patel | Internal Medicine | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2011-12-08 |
| 1730465113 | Melissa Suanne Buchanan | Nurse Practitioner | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2011-10-28 |
| 1023312071 | Abigail Katzman Hoffman | Registered Nurse | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2011-01-05 |
| 1770758021 | Rebecca Jean Payor | Nurse Practitioner | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2008-04-28 |
| 1962613570 | Dawn Michelle Derrick | Nurse Practitioner | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2007-05-24 |
| 1881813129 | John Michael William Woodward | Nurse Practitioner | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770100828 | Dana Santiago | Nurse Practitioner | 3110 Lake Jean Dr, Orlando, FL 32817-2324 | 2020-07-06 |
| 1609496629 | Autumn Nicole Walker | Nurse Practitioner | 2811 Ripton Ct, Orlando, FL 32835-6147 | 2020-04-20 |
| 1366913121 | Heather Freeman | Nurse Practitioner | 1400 S Orange Ave # Mp700, Orlando, FL 32806-2134 | 2018-12-05 |
| 1114403631 | Millian Okafor | Nurse Practitioner | 14918 Faberge Dr, Orlando, FL 32828-5118 | 2018-07-17 |
| 1134663933 | Marian Coppo Chase | Nurse Practitioner | 801 Vassar St, Orlando, FL 32804-4922 | 2016-12-13 |
| 1306291372 | Carlos Ivan Sanchez | Nurse Practitioner | 8012 Prestbury Dr, Orlando, FL 32832-6306 | 2016-04-27 |
| 1467831040 | Mary Philip | Nurse Practitioner | 13203 Chattanooga Ln, Orlando, FL 32837-4005 | 2015-05-28 |
| 1114325529 | Lola M Ortega | Nurse Practitioner | 1115 East Ridgewood Street, Orlando, FL 32803-6947 | 2014-12-17 |
| 1689090276 | Amina Hussain Ali | Nurse Practitioner | 6983 Brescia Way, Orlando, FL 32819-5269 | 2014-03-06 |
| 1447690870 | Rebecca Lee Ritz | Nurse Practitioner | 2111 Crosshair Cir, Orlando, FL 32837-7408 | 2013-06-30 |
| Find all providers in ORLANDO | ||||
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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.