MS. MARY SHEILA SULLIVAN (NPI# 1508315961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508315961 |
| Entity Type | Individual |
| Full Name | MS. MARY SHEILA SULLIVAN |
| Credential | M.ED, RD, CSR, LDN |
| Practice Address |
16 Raymond Dr Wilbraham MA 01095-2606 |
| Practice Telephone | 4135372426 |
| Mailing Telephone | 4135372426 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 121 | MA | Dietary & Nutritional Service Providers |
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
121 | MA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487135430 | Mary Sullivan | Registered Nurse | 2527 Hiawatha, San Antonio, TX 78210-5422 | 2018-08-28 |
| 1073851192 | Mary Barbara Sullivan | General Practice | 1403 Wind River Dr Se, Huntsville, AL 35802-3936 | 2013-01-24 |
| 1144572546 | Mary Elizabeth Sullivan | Social Worker | 123 Garden St, Needham, MA 02492-2029 | 2012-10-09 |
| 1164784781 | Mary Sullivan | Specialist | 3 Hawthorne St, Hicksville, NY 11801-2607 | 2012-06-10 |
| 1811268980 | Mary E Sullivan | Psychologist | 901 E Hackberry Ave Rm C-204, Mcallen, TX 78501-6502 | 2012-01-22 |
| 1366756272 | Mary Kate Sullivan | Occupational Therapy Assistant | 50 Madison Rd, Dumas, AR 71639-9385 | 2010-08-03 |
| 1740592955 | Mary Elizabeth Sullivan | Social Worker | 2201 South 17th Street, Lincoln, NE 68502-2953 | 2010-07-06 |
| 1215267554 | Mary J Sullivan | Speech-Language Pathologist | 95 Skowhegan Rd, Maine Center for Integrated Rehab, Fairfield, ME 04937-3303 | 2010-01-08 |
| 1588893564 | Mary Loraine Sullivan | Obstetrics & Gynecology | 133 W Main St # 240, El Cajon, CA 92020-3315 | 2009-07-10 |
| 1295978153 | Mary I Sullivan | Counselor | 725 River St, Allegan, MI 49010-9501 | 2009-04-08 |
| Street Address |
16 RAYMOND DR |
| City | WILBRAHAM |
| State | MA |
| Zip Code | 01095-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912436619 | Amanda M Bryant | Nurse Practitioner | 70 Pst Office Park, Wilbraham, MA 01095 | 2017-06-06 |
| 1568867539 | Michael Roy | Physical Therapist | 2301 Boston Rd, Wilbraham, MA 01095 | 2014-11-03 |
| 1588925440 | Jeziel Miguel Gonzalez | Physical Therapist | 6 Colonial Rd, Wilbraham, MA 01095 | 2012-06-06 |
| 1306117783 | Rosemary Wrona | Physical Therapist | 2 Lodge Ln, Wilbraham, MA 01095 | 2012-01-18 |
| 1356508584 | Big Y Foods Inc | Pharmacy | 2035 Boston Rd, Wilbraham, MA 01095 | 2008-05-16 |
| 1235315854 | Elizabeth L Rose | Pediatrics | Riverbend Medical Group, Inc, 70 Post Office Park, Wilbraham, MA 01095 | 2008-01-14 |
| 1346315140 | Mary Beth Laliberte | Physician Assistant | 2040 Boston Rd Ste 5, Wilbraham, MA 01095 | 2006-11-21 |
| 1003993668 | Anita Chopra | Dentist | 2141 Boston Road, Northeast Dental, Wilbraham, MA 01095 | 2006-11-01 |
| 1558461525 | Cynthia A Kennedy | Nurse Practitioner | 34 Sandalwood Dr, Wilbraham, MA 01095 | 2006-09-22 |
| 1063447357 | Susan W James | Social Worker | 919 Main St., Wilbraham, MA 01095 | 2006-07-12 |
| Find all providers in zip 01095 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666019 | Jessica Prohn | Dietitian, Registered | 35 Hingham Rd, North Grafton, MA 01536-1281 | 2020-03-29 |
| 1821699455 | Avotrition LLC | Dietitian, Registered | 449 Canal St Apt 606, Somerville, MA 02145-4364 | 2020-11-02 |
| 1477181766 | Sierra Parker | Dietitian, Registered | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-03-31 |
| 1104488170 | Umass Memorial Health Care, Inc. | Dietitian, Registered | 157 Union St, Marlborough, MA 01752-1228 | 2019-07-01 |
| 1144401316 | Karen Elizabeth Horton | Dietitian, Registered | 300 Stafford St, Suite 161, Springfield, MA 01104-3581 | 2007-11-16 |
| 1609055987 | Nadia Renee Marzella | Dietitian, Registered | 100 Milk St, Methuen, MA 01844-4600 | 2007-11-02 |
| 1053506618 | Haewook Han | Dietitian, Registered | 133 Brookline Ave, Boston, MA 02215-3904 | 2007-09-07 |
| 1336342633 | Poonhar Louisa Poon | Dietitian, Registered | 35 Kneeland St Ste 5, Boston, MA 02111-1523 | 2007-06-06 |
| 1144346016 | Lorraine S Castaldo | Dietitian, Registered | 165 Cambridge St, Mgh Capd Unit Suite 504, Boston, MA 02114-2783 | 2007-03-22 |
| 1255481339 | Nancy Orlando | Dietitian, Registered | 56 Winthrop St, Suite B, Concord, MA 01742-2076 | 2007-01-11 |
| Find all providers with the same taxonomy | ||||
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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.