SHEMIAH MESHAI SULLIVAN


Address: 200 Oceangate Ste 100, Long Beach, CA 90802-4317
Phone: 8885625442

SHEMIAH MESHAI SULLIVAN (NPI# 1497274625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497274625
Entity Type Individual
Full Name SHEMIAH MESHAI SULLIVAN
Credential NP-C
Practice Address 200 Oceangate Ste 100
Long Beach
CA 90802-4317
Practice Telephone 8885625442
Practice Fax Number 5622764825
Mailing Telephone 5624353666
Mailing Fax Number 5622764825
Enumeration Date 2017-09-19
Last Update Date 2019-05-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
95007452 CA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
95007452 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 200 OCEANGATE STE 100
City LONG BEACH
State CA
Zip Code 90802-4317

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164421814 Valerie Green-amos Family Medicine 200 Oceangate Ste 100, Long Beach, CA 90802-4317 2005-07-15
1740830520 Candice Polochak Arrambide Registered Nurse 200 Oceangate Ste 100, Long Beach, CA 90802-4317 2019-09-13
1831747492 Emily Bishop Nurse Practitioner 200 Oceangate Ste 100, Long Beach, CA 90802-4317 2019-08-27
1669957593 Erin Ross Nurse Practitioner 200 Oceangate Ste 100, Long Beach, CA 90802-4317 2018-09-26
1700399524 Isis Alexandra Acosta Nurse Practitioner 200 Oceangate Ste 100, Long Beach, CA 90802-4317 2017-11-15
1699207522 Molina Healthcare Exclusive Provider Organization 200 Oceangate Ste 100, Long Beach, CA 90802-4317 2017-03-30
1407393903 Lynda Nkechi Aduba Nurse Practitioner 200 Oceangate Ste 100, Long Beach, CA 90802-4317 2017-01-23
1033547146 Molina Medical Group of New Mexico, PC Pediatrics 200 Oceangate Ste 100, Long Beach, CA 90802-4317 2013-10-29
1528409976 Lisa Marie Stibitz Nurse Practitioner 200 Oceangate Ste 100, Long Beach, CA 90802 2013-07-15
1295078699 Molina Healthcare of California Partner Plan, Inc. Health Maintenance Organization 200 Oceangate Ste 100, Long Beach, CA 90802-4317 2013-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255981791 Nena Danieles Meador Technician 505 West 5th St. Unit 201, Long Beach, CA 90802 2019-09-17
1881241487 Edward De La Cruz Technician 425 E 3rd St., 413, Long Beach, CA 90802 2019-08-20
1992350094 Kaitlyn May Saephan Student in an Organized Health Care Education/Training Program 200 Pine Avenue, Suite 400, Long Beach, CA 90802 2019-08-06
1073175881 David Coleman Counselor 735 West 4th St, Unit D, Long Beach, CA 90802 2019-07-01
1235612193 Linda Nyagaya Nurse Practitioner 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 2018-09-06
1669998670 Jessica Huerta Student in an Organized Health Care Education/Training Program 456 Elm, Long Beach, CA 90802 2017-08-22
1316462484 Kathlyn Pearl Parlet Counselor 351 E. 6th. Street, Long Beach, CA 90802 2017-08-09
1386168136 Shena Young Psychologist 404 East First St #1191, Long Beach, CA 90802 2017-08-02
1215472758 Vanessa Pons Marriage & Family Therapist 735 W 4th St Unit A, Long Beach, CA 90802 2016-12-19
1821459330 Surabhi Shah Occupational Therapist 330 Golden Shores, Suite 250, Long Beach, CA 90802 2016-03-10
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1225660657 Andrea Linda Dorsett Nurse Practitioner 1340 E South St Apt 101, Long Beach, CA 90805-4367 2020-02-04
1366982191 Emilyn Basubas Lao Nurse Practitioner 1100 Elm Ave Apt 115, Long Beach, CA 90813-3275 2017-02-27
1427591247 Betty Butler Nurse Practitioner 3546 Linden Ave Unit 1, Long Beach, CA 90807-5603 2016-11-28
1205495033 Maryann Siu Nurse Practitioner 5901 E 7th St, Long Beach, CA 90822-5201 2019-06-05
1568732295 Kathleen Joyce Griffin Nurse Practitioner 5901 E 7th St, Long Beach, CA 90822 2012-01-11
1730277211 Vanessa Ann Lee Nurse Practitioner 5901 E. 7th St., Va Long Beach Hcs, Long Beach, CA 90822 2006-10-10
1902856156 Anita Loos-hannifan Nurse Practitioner 5901 E 7th St, Long Beach, CA 90822-5201 2006-05-10

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1710584008 Venessa Beck Nurse Practitioner 903 Cardiff St, San Diego, CA 92114-5019 2020-10-08
1053918094 Janel Nicole Sanglerat Nurse Practitioner 416 Aviation Blvd, Santa Rosa, CA 95403-1032 2020-10-02
1790382760 Christopher Tran Nurse Practitioner 11441 Heacock St Ste F, Moreno Valley, CA 92557-7907 2020-10-02
1487266292 Mollie Shira Hudson Nurse Practitioner 14 Whitmore Pl Apt 15, Oakland, CA 94611-4635 2020-08-21
1962014381 Mario Javier Herrera Nurse Practitioner 2130 High Pointe Dr, Apt 108, Corona, CA 92879 2020-08-18
1952912131 Norman Ivan Kier Nurse Practitioner 3834 Edison Ave, Sacramento, CA 95821-2728 2020-08-12
1942811377 Thanhan Mathews Nurse Practitioner 114 W Cameron St Apt B, Hanford, CA 93230-2965 2020-08-10
1972113355 Marine Mary Kademyan Nurse Practitioner 6528 Babcock Ave, North Hollywood, CA 91606 2020-07-31
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Competitor

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City LONG BEACH
Zip Code 90802

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Dataset Information

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.

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