TIFFANY ANN SULLIVAN (NPI# 1477666121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477666121 |
| Entity Type | Individual |
| Full Name | TIFFANY ANN SULLIVAN |
| Credential | BA |
| Practice Address |
40 Greenhouse Ln Rt 321 Auxier Rd Prestonsburg KY 41653 |
| Mailing Address |
104 S Front Ave Prestonsburg KY 41653 |
| Practice Telephone | 6068866815 |
| Practice Fax Number | 6068869878 |
| Mailing Telephone | 6068868572 |
| Mailing Fax Number | 6068864433 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093061285 | Tiffany Lynn Sullivan | Counselor | 901 Pavilion Ct, Mcdonough, GA 30253-6665 | 2012-07-25 |
| 1184686578 | Tiffany Sullivan | Speech-Language Pathologist | 2002 E Robinson, Norman, AR 73071 | 2006-04-03 |
| 1265953772 | Tiffany Marie Sullivan I | Counselor | 1010 N Prospect St, Bowling Green, OH 43402-1335 | 2017-07-05 |
| 1386026177 | Tiffany Sullivan | Specialist | 6490 S Mccarran Blvd, F52, Reno, NV 89509-6165 | 2015-06-29 |
| 1336379114 | Tiffany N Sullivan | Speech-Language Pathologist | 7235 Whipple Ave Nw, North Canton, OH 44720-7137 | 2009-07-15 |
| 1215055983 | Tiffany Sullivan | Social Worker | 12101 W Washington Blvd, Los Angeles, CA 90066-5501 | 2007-03-27 |
| 1467568535 | Tiffany Noel Edmonds Sullivan | Social Worker | 205 Hampton Hwy, Yorktown, VA 23693 | 2006-08-22 |
| Street Address |
40 GREENHOUSE LN RT 321 AUXIER RD |
| City | PRESTONSBURG |
| State | KY |
| Zip Code | 41653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053424705 | Haley Marie Hammond | Day Training/Habilitation Specialist | 40 Greenhouse Ln, Rt 321 Auxier Rd, Prestonsburg, KY 41653-9180 | 2006-08-16 |
| 1487833166 | Darrell Riffe | Day Training/Habilitation Specialist | 40 Greenhouse Ln, Rt 321 Auxier Rd, Prestonsburg, KY 41653-9180 | 2007-10-30 |
| 1619156338 | Roger Johnson | Counselor | 40 Greenhouse Ln, Rt 321 Auxier Road, Prestonsburg, KY 41653-9180 | 2007-10-30 |
| 1164601886 | Shannon Charles | Day Training/Habilitation Specialist | 40 Greenhouse Ln, Rt 321 Auxier Road, Prestonsburg, KY 41653-9180 | 2007-10-30 |
| 1124131875 | Jennifer Alleene Crum | Day Training/Habilitation Specialist | 40 Greenhouse Ln, Rt 321 Auxier Rd, Prestonsburg, KY 41653 | 2006-08-16 |
| 1851404503 | Bonnie S. Coleman | Day Training/Habilitation Specialist | 40 Greenhouse Ln, Rt 321 Auxier Rd, Prestonsburg, KY 41653 | 2006-08-16 |
| 1669585311 | John W. Preston | Day Training/Habilitation Specialist | 40 Greenhouse Ln, Rt 321 Auxier Rd, Prestonsburg, KY 41653 | 2006-08-16 |
| 1194838847 | Trena Hensley | Day Training/Habilitation Specialist | 40 Greenhouse Ln, Rt 321 Auxier Rd, Prestonsburg, KY 41653 | 2006-08-16 |
| 1508979261 | Lilia Nyberg | Day Training/Habilitation Specialist | 40 Greenhouse Ln, Rt 321 Auxier Rd, Prestonsburg, KY 41653 | 2006-08-16 |
| 1588777247 | Alice Cole | Day Training/Habilitation Specialist | 40 Greenhouse Ln, Rt 321 Auxier Rd, Prestonsburg, KY 41653-9180 | 2006-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094670 | Commonwealth Community Care Centers, LLC | Obstetrics & Gynecology | 156 North Lake Drive, Prestonburg, KY 41653 | 2020-02-06 |
| 1336781152 | Toni Coleman | Counselor | 104 South Front Ave, Prestonsburg, KY 41653 | 2019-10-14 |
| 1063070043 | Beverly Jane Daniel | Nurse Practitioner | 5230-ky-321#8, Prestonsburg, KY 41653 | 2019-06-04 |
| 1760966519 | Mackenzie Alvarez | Counselor | 104 South Front Avenue, Prestonsburg, KY 41653 | 2018-09-18 |
| 1427409739 | Css Rehab Services | Early Intervention Provider Agency | 165 Ridgewood Drive, Prestonsburg, KY 41653 | 2016-06-28 |
| 1356745509 | Rosanna Mccoy | Counselor | 105 Trimble Chapel Square, Prestonsburg, KY 41653 | 2014-10-17 |
| 1770828766 | Mary Whitney Amburgey | Physical Therapist | 5000 Ky-321, Prestonsburg, KY 41653 | 2012-12-03 |
| 1750648168 | Cynthia Crase | Social Worker | 311 N Arnold Ave Ste 504, Prestonsburg, KY 41653 | 2012-04-23 |
| 1003107566 | Shane Hensley | Pharmacist | 152 Collins Circle, Prestonsburg, KY 41653 | 2011-05-02 |
| 1659607018 | Paul Michael Burchett | Pharmacist | 5291 Ky Rte 321, Prestonsburg, KY 41653 | 2009-10-20 |
| Find all providers in zip 41653 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781152 | Toni Coleman | Counselor | 104 South Front Ave, Prestonsburg, KY 41653 | 2019-10-14 |
| 1760966519 | Mackenzie Alvarez | Counselor | 104 South Front Avenue, Prestonsburg, KY 41653 | 2018-09-18 |
| 1437417813 | Sabrina Duncan | Counselor | 2290 Abbott Creek Rd, Prestonsburg, KY 41653-8934 | 2012-04-24 |
| 1376629923 | Anthony Eugene Davis | Counselor | 269 S Highland Ave, Prestonsburg, KY 41653-1909 | 2006-10-27 |
| 1881787463 | Johnny M States | Counselor | 5230 Kentucky Route 321, Suite 8, Prestonsburg, KY 41653 | 2006-10-02 |
| 1174637730 | Ronetta A. Tucker | Counselor | 561 N Lake Dr, Prestonsburg, KY 41653-1278 | 2006-08-19 |
| 1982203477 | Tiffany Gipson | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-26 |
| 1790384048 | Lakin Kirk | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-19 |
| 1841899242 | Jennifer Damron | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-19 |
| 1790384063 | Rita Kirk | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-19 |
| Find all providers in PRESTONSBURG | ||||
| City | PRESTONSBURG |
| Zip Code | 41653 |
Please comment or provide details below to improve the information on TIFFANY ANN 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.