HILARY CAITLIN SULLIVAN (NPI# 1528692480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528692480 |
| Entity Type | Individual |
| Full Name | HILARY CAITLIN SULLIVAN |
| Credential | APRN |
| Practice Address |
Park Avenue Medical, LLC 85 Barnes Road, Suite 202 Wallingford CT 06492 |
| Mailing Address |
22 Cedarcroft Dr Madison CT 06443-1832 |
| Practice Telephone | 2033090070 |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8748 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
PARK AVENUE MEDICAL, LLC 85 BARNES ROAD, SUITE 202 |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| 1730561952 | Renee Pamela Borecki | Dentist | 205 North Main Street, Wallingford, CT 06492 | 2015-06-24 |
| Find all providers in zip 06492 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027180 | Deborah B Fahs | Nurse Practitioner | 850 N Main Street Ext., Bldg 2 Suite C2, Wallingford, CT 06492 | 2005-07-20 |
| 1457992216 | Alison Lorusso | Nurse Practitioner | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2019-10-03 |
| 1619522257 | Kathryn Bellico Cappiello | Nurse Practitioner | 1062 Barnes Rd Ste 300, Wallingford, CT 06492-2576 | 2019-08-08 |
| 1609344480 | Juanita H Dee | Nurse Practitioner | 85 Barnes Rd Ste 202, Wallingford, CT 06492-1832 | 2018-11-09 |
| 1417459025 | Jennifer Robinson | Nurse Practitioner | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2018-02-28 |
| 1598297665 | Christopher Sullivan | Nurse Practitioner | 850 N Main Street Ext, Building 1, A3, Wallingford, CT 06492-2400 | 2017-03-29 |
| 1851750459 | Kimberly Hayden Leahy | Nurse Practitioner | 950 Yale Ave, Wallingford, CT 06492-1858 | 2016-02-11 |
| 1477929420 | Ursula L Hoxie | Nurse Practitioner | 85 Barnes Rd Ste 202, Wallingford, CT 06492-1832 | 2015-08-13 |
| 1669745824 | Carolyn Umengan Rojo | Nurse Practitioner | 22 Masonic Avenue, Wallingford, CT 06492 | 2012-02-20 |
| 1992085112 | Catharine Burke | Nurse Practitioner | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2011-08-18 |
| Find all providers in WALLINGFORD | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
Please comment or provide details below to improve the information on HILARY CAITLIN 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.