JAN C. SULLIVAN (NPI# 1396918991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396918991 |
| Entity Type | Individual |
| Full Name | JAN C. SULLIVAN |
| Credential | R.N., M.S., C.G.C. |
| Practice Address |
759 Chestnut St Springfield MA 01199-1001 |
| Practice Telephone | 4137941530 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194749408 | Jan Greer Sullivan | Psychiatric Hospital | 2200 Fort Roots Dr Bldg 58, North Little Rock, AR 72114-1709 | 2006-07-27 |
| 1780709816 | Jan Retherford Sullivan | Psychiatry & Neurology | 4301 W Markham St, Little Rock, AR 72205-7101 | 2007-03-20 |
| Street Address |
759 CHESTNUT ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01199-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569828 | Diane L Dietzen | Internal Medicine | 759 Chestnut St, Springfield, MA 01199-1619 | 2005-06-22 |
| 1689274987 | Michele Lee Houghton | Registered Nurse | 759 Chestnut St, Springfield, MA 01199-1001 | 2020-10-27 |
| 1922612621 | Justine Trowbridge | Physician Assistant | 759 Chestnut St, Springfield, MA 01199-2225 | 2020-09-01 |
| 1316550221 | Vi Thuy Do | Registered Nurse | 759 Chestnut St, Springfield, MA 01199-1001 | 2020-08-29 |
| 1689282519 | Anum Fatima | Student in an Organized Health Care Education/Training Program | 759 Chestnut St, Springfield, MA 01199-0001 | 2020-07-16 |
| 1033737432 | Subahana Aboobucker | Student in an Organized Health Care Education/Training Program | 759 Chestnut St, Springfield, MA 01199-0001 | 2020-07-12 |
| 1083232003 | Yunika Burgos Depalma | Physician Assistant | 759 Chestnut St, Springfield, MA 01199-0001 | 2020-07-07 |
| 1437774858 | Yelisei Murauski | Physician Assistant | 759 Chestnut St, Springfield, MA 01107-1619 | 2020-06-11 |
| 1073138517 | Zaid Obaida | Student in an Organized Health Care Education/Training Program | 759 Chestnut St, Springfield, MA 01199-0001 | 2020-06-10 |
| 1265054886 | Rachel Christine Schmidt | Student in an Organized Health Care Education/Training Program | 759 Chestnut St, Springfield, MA 01199-0001 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194211227 | Alice Perman Leveston | Social Worker | 759 Chestnut St # S2660, Springfield, MA 01199 | 2018-07-01 |
| 1043732415 | Calvin Keith Craig | Student in an Organized Health Care Education/Training Program | Baystate Medical Center 759 Chestnut Street, Springfield, MA 01199 | 2017-07-07 |
| 1598026494 | Yesenia Greeff | Internal Medicine | 3300 Main St Ste 3a, Springfield, MA 01199 | 2012-06-06 |
| 1912231903 | Abistanand Ankam | Anesthesiology | 759 Chestnut St Department of Anesthesia, Baystate Medical Center, Holyoke, MA 01199 | 2009-09-24 |
| 1205099553 | Ejaz Khalid | Internal Medicine | 759 Chest Nut Street, Department of Internal Medicine Attn Linda Baillargeon, Springfield, MA 01199 | 2008-07-08 |
| 1184817926 | Asha Thomas | Pediatrics | 3300 Main Street 4th Floor, Suite A&b, Springfield, MA 01199 | 2007-08-24 |
| 1730381435 | Vicki Weld | Social Worker | 3300 Main Street, Suite 4a, Springfield, MA 01199 | 2007-06-04 |
| 1699976266 | Jim Maloney | Physical Therapist | 360 Birnie Avenue, Springfield, MA 01199 | 2007-05-30 |
| 1881780690 | Lawrence C Peters | Psychiatry & Neurology | 759 Chestnut Street S5632, Springfield, MA 01199 | 2006-10-05 |
| 1366460222 | Stephen A Luippold | Registered Nurse | 759 Chesnut Street, S2676, Springfield, MA 01199 | 2006-07-18 |
| Find all providers in zip 01199 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629191218 | Jose M Camacho | Genetic Counselor, MS | 18 Notre Dame St, Springfield, MA 01104-2113 | 2007-04-09 |
| 1275558223 | Kathryn Louise Murray | Genetic Counselor, MS | 3355 Riverbend Dr Ste 210, Springfield, OR 97477-8800 | 2006-07-12 |
| 1073597456 | Kristin Lynn Dalton | Genetic Counselor, MS | 794 Chestnut St, Springfield, MA 01199-0001 | 2005-11-30 |
| 1780219717 | Alexandra Elizabeth Richards | Genetic Counselor, MS | 759 Chestnut St, Springfield, MA 01199-0001 | 2020-03-10 |
| 1023643418 | Kacie Y. Weinstein | Genetic Counselor, MS | 3355 Riverbend Dr Ste 210, Springfield, OR 97477-8800 | 2020-03-06 |
| 1437631132 | Mary Lynn O'connor | Genetic Counselor, MS | 301 N 8th St Ste 4a, Springfield, IL 62701-1013 | 2018-08-30 |
| 1588118350 | Courtney Manning | Genetic Counselor, MS | 50 Wason Ave, Springfield, MA 01107-1274 | 2016-08-10 |
| 1407284367 | Daniel Groepper | Genetic Counselor, MS | 301 N 8th St, Suite Pav 4a, Springfield, IL 62701-1041 | 2013-10-30 |
| 1356672828 | Heather L D Glessner | Genetic Counselor, MS | 415 N 9th St, Suite 6w30, Springfield, IL 62702-5303 | 2010-01-23 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01199 |
Please comment or provide details below to improve the information on JAN C. 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.