COLBY KEITH SULLIVAN


Address: 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734
Phone: 8504791805

COLBY KEITH SULLIVAN (NPI# 1528613734) 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) 1528613734
Entity Type Individual
Full Name COLBY KEITH SULLIVAN
Credential ACNP
Practice Address 5149 N 9th Ave Ste 120
Pensacola
FL 32504-8734
Mailing Address Po Box 11982
Pensacola
FL 32524-1982
Practice Telephone 8504791805
Practice Fax Number 8504791829
Mailing Telephone 8504791805
Mailing Fax Number 8504791829
Enumeration Date 2019-08-05
Last Update Date 2019-11-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
11002698 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5149 N 9th Ave, Pensacola, FL 32504 8504797200

Office Location

Street Address 5149 N 9TH AVE STE 120
City PENSACOLA
State FL
Zip Code 32504-8734

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578565735 Geoffrey Lake Risley Surgery 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 2005-06-01
1679117451 Mario Gardner Registered Nurse 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 2019-11-04
1780183624 Christine Ann Dickson Nurse Practitioner 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 2018-02-06
1598180903 Tonya L Hayes Physician Assistant 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 2014-02-21
1679843080 Stephanie Nicole Hunter Nurse Practitioner 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 2012-01-03
1417274135 Rebekka Annalisa Accardo Nurse Practitioner 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 2010-04-21
1215164108 Shonak Bipin Patel Surgery 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 2009-06-17
1578727913 Kristina Renee Adam Physician Assistant 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 2008-07-15
1255531356 Morgan F White Physician Assistant 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 2007-07-18
1821204983 Christopher J Lecroy Surgery 5149 N 9th Ave Ste 120, Pensacola, FL 32504-8734 2007-05-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659978393 Quinyatta Stride Behavior Technician 2511 Creighton Rd., Pensacola, FL 32504 2020-10-06
1962017657 Pt Solutions of Pensacola LLC Occupational Therapist 2114 Creighton Rd, Ste C, Pensacola, FL 32504 2020-09-10
1982226742 Elevate Behavioral Solutions Behavioral Analyst 4045 Renoir St, Pensacola, FL 32504 2020-05-14
1760021349 Veteran Evaluations of Florida Internal Medicine 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 2019-12-31
1215575527 First City Health LLC Pharmacy 6005 College Parkway, Suite 1, Pensacola, FL 32504 2019-12-17
1184261158 Claire Ann Letendre Audiologist 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 2019-12-09
1083275101 Benjamin Mcmillon Chiropractor 2629 Creighton Road, Suite 1, Pensacola, FL 32504 2019-06-28
1407342595 Faryal Munir Student in an Organized Health Care Education/Training Program Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 2018-07-02
1497252050 Sibyl Tenille Page Nurse Practitioner 5147 N 9th Ave Ste 322, Pensacola, FL 32504 2018-04-10
1396272589 Sacred Heart Hospital General Acute Care Hospital 2552 Carmel Heights Rd, Pensacola, FL 32504 2017-05-18
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407470362 Chanci Alford Mascelli Nurse Practitioner 1502 Creighton Rd, Pensacola, FL 32504-7143 2020-06-05
1477092211 Kerry Powell Nurse Practitioner 5153 N 9th Ave Ste 404, Pensacola, FL 32504 2017-02-13
1215352026 Cathy Mcgovern Nurse Practitioner 4600 Bayou Blvd, Suite 6, Pensacola, FL 32503-1901 2014-03-03
1396343323 Tabitha Power Nurse Practitioner 4700 Bayou Blvd Ste 6, Pensacola, FL 32503-1901 2020-10-12
1467079970 Kristina A Gallagher Nurse Practitioner 2120 E Johnson Ave, Pensacola, FL 32514-6036 2020-06-30
1144855958 Nicole Chase Adams Nurse Practitioner 8333 N Davis Hwy, Pensacola, FL 32514-6049 2020-03-12
1528693983 Nancy Franklin Nurse Practitioner 5151 N 9th Ave, Pensacola, FL 32504-8721 2020-03-05
1447881404 Monique Renee Wyche Nurse Practitioner 4901 Market Place Rd, Pensacola, FL 32504-8986 2020-01-29
1750940268 Lauren Mary Myers Nurse Practitioner 4451 Bayou Blvd, Pensacola, FL 32503-2601 2019-06-08
1780176578 Eva Reinke Nurse Practitioner 435 Airport Blvd, Pensacola, FL 32503-7847 2018-06-06
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Competitor

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City PENSACOLA
Zip Code 32504

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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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