CANAVERELL SULLIVAN (NPI# 1467830521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467830521 |
| Entity Type | Individual |
| Full Name | CANAVERELL SULLIVAN |
| Practice Address |
1047 Emerson St Apt D Rochester NY 14606-2744 |
| Practice Telephone | 5854357727 |
| Mailing Telephone | 5854357727 |
| Enumeration Date | 2015-05-09 |
| Last Update Date | 2015-05-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
673423-1 | NY | Nursing Service Providers |
| Street Address |
1047 EMERSON ST APT D |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14606-2744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047686 | Katherine Anne Blakely | Social Worker | 100 Pinewild Drive, Second Floor Suite A, Rochester, NY 14606 | 2020-03-04 |
| 1023501855 | Diana Moskalyuk | Registered Nurse | 57 Gates Manor Dr, Rochester, NY 14606 | 2018-06-06 |
| 1245732221 | Daphne Bell | Driver | 79 Curlew St., Rochester, NY 14606 | 2018-03-06 |
| 1275031171 | Meghan Elizabeth Wallace | Social Worker | 1305 Lyell Avenue, Rochester, NY 14606 | 2018-01-25 |
| 1114277860 | Debra A Bucklaew | Registered Nurse | 57 Baier Dr, Rochester, NY 14606 | 2012-09-10 |
| 1427327998 | Charita Y Murray | Licensed Practical Nurse | 48 Rogers Ave., Rochester, NY 14606 | 2011-12-29 |
| 1649556804 | Jamila Kali Miller | Family Medicine | 110 Canton St, Rochester, NY 14606 | 2011-11-01 |
| 1720375447 | Jasmine Marie Radcliff | Licensed Practical Nurse | 34 Ardella St, Rochester, NY 14606 | 2011-07-01 |
| 1104110766 | Ashly Jasmine Goodwill | Licensed Practical Nurse | 16 Glasser St, Rochester, NY 14606 | 2011-06-01 |
| 1497067359 | Shahada D Ware | Licensed Practical Nurse | 222 Mcnaughton St., Rochester, NY 14606 | 2010-07-08 |
| Find all providers in zip 14606 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023909 | Joshua Ryan Fox | Registered Nurse | 97 Lianne Dr, Rochester, NY 14626-5337 | 2020-11-06 |
| 1881209252 | Emily Francesca | Registered Nurse | 80 Corona Rd, Rochester, NY 14615-2643 | 2020-09-12 |
| 1033727649 | Samantha Ashley Hedges | Registered Nurse | 3 Mountain Ln Apt 3c, Rochester, NY 14625-2502 | 2020-07-20 |
| 1255968087 | Anna Marie Marcy | Registered Nurse | 44 Dundas Dr, Rochester, NY 14625-1369 | 2020-03-23 |
| 1225594443 | Raleigh Galbraith | Registered Nurse | 95 Dartmouth St Apt 2, Rochester, NY 14607-2842 | 2019-02-12 |
| 1023572393 | Jessica Mara Brault | Registered Nurse | 249 Totem Trl, Rochester, NY 14617-2473 | 2019-01-30 |
| 1518317478 | Christina Altobello | Registered Nurse | 93 Essla Dr, Rochester, NY 14612-2228 | 2016-06-21 |
| 1346667979 | Sarah Miller | Registered Nurse | 120 Woodcroft Dr, Rochester, NY 14616-1421 | 2014-03-20 |
| 1225260516 | Jennifer Kuhn | Registered Nurse | 57 Park Ave, Rochester, NY 14606-3816 | 2009-08-20 |
| 1003094863 | Barbara J Knope | Registered Nurse | 128 Greystone Ln Apt 10, Rochester, NY 14618-4917 | 2008-02-04 |
| Find all providers in ROCHESTER | ||||
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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.