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).
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 |
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 |
Street Address |
200 OCEANGATE STE 100 |
City | LONG BEACH |
State | CA |
Zip Code | 90802-4317 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 90802 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205459534 | Shyan Indera Jagdeo | Nurse Practitioner | 645 W Broadway, Long Beach, NY 11561-2956 | 2020-05-21 |
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 |
1245849645 | Shannon Pereira | Nurse Practitioner | 2368 Honeysuckle Way, Hemet, CA 92545-4796 | 2020-07-31 |
Find all providers with the same taxonomy |
City | LONG BEACH |
Zip Code | 90802 |
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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.