ERIN SULLIVAN


Address: 25620 Cactus Ave, Moreno Valley, CA 92555-9255
Phone: 9514864000

ERIN SULLIVAN (NPI# 1528695558) 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) 1528695558
Entity Type Individual
Full Name ERIN SULLIVAN
Credential NP
Practice Address 25620 Cactus Ave
Moreno Valley
CA 92555-9255
Mailing Address 28665 Belmont Park Way
Moreno Valley
CA 92555-8418
Practice Telephone 9514864000
Mailing Telephone 9515257820
Enumeration Date 2020-03-27
Last Update Date 2020-03-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 95013960 CA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
350 Terracina Blvd, Redlands, CA 923734897 9093355500
400 N Pepper Ave, Colton, CA 923241819 9295801000

Other Providers ERIN SULLIVAN

NPI Name Taxonomy Address Enumeration
1265070783 Erin Catherine Sullivan Registered Nurse 100 Cummings Ctr Ste 166, Beverly, MA 01915-6135 2019-12-16
1619372620 Erin Sullivan Speech-Language Pathologist 58 Hamden Ave, Staten Island, NY 10306-2506 2014-11-03
1427463900 Erin Sullivan Physical Therapist 600 Mule Rd., Toms River, NJ 08757 2014-06-24
1053660647 Erin Sullivan Counselor 49 Walpole Street, Suite 5, Norwood, MA 02062 2012-08-29
1164751970 Erin Mary Sullivan Behavioral Analyst 93 Ledgewood Dr, Falmouth, ME 04105-1811 2009-12-08
1790011526 Erin Henschen Sullivan Psychologist 8938 Emperor Ave, Apt 12, San Gabriel, CA 91775-1961 2009-10-29
1811152952 Erin C Sullivan Physical Therapist 1401 S Ih 35, Suite 140, Round Rock, TX 78664-6601 2008-07-28
1407479595 Erin Michelle Sullivan Physician Assistant 114 Woodland St, Hartford, CT 06105-1208 2020-05-22
1124641592 Erin Sullivan Behavior Technician 1161 Lake Cook Rd, Deerfield, IL 60015-5649 2020-05-20
1073156345 Erin Kelmartin Sullivan Social Worker 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237-4157 2019-10-19

Office Location

Street Address 25620 CACTUS AVE
City MORENO VALLEY
State CA
Zip Code 92555-9255

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043817935 Jillian Mika Ogata Social Worker Riverside University Health System, 26520 Cactus Ave., Moreno Valley, CA 92555 2020-10-05
1114549144 Providence Recovery Centers, Inc. Substance Abuse Rehabilitation Facility 11165 Bonnie View Ave, Moreno Valley, CA 92555 2020-05-13
1720645096 Shahida Nawaz Non-emergency Medical Transport (VAN) 26528 Primrose Way, Moreno Valley, CA 92555 2019-05-22
1679139828 Moses Lee Student in an Organized Health Care Education/Training Program Department of Orthopaedic Surgery Rm. B2042 Ruhs-mc, 26520 Cactus Ave., Moreno Valley, CA 92555 2019-05-14
1215419668 Johannes Wattimena Counselor 26624 Saffron Circle, Moreno Valley, CA 92555 2018-09-02
1437676939 Aleksandra Vargas Behavioral Analyst 12549 Atherton Dr, Moreno Valley, CA 92555 2017-08-25
1063938603 Anthony I Odimegwu Nurse Practitioner 26062 Bercaw Ct, Moreno Valley, CA 92555 2017-08-16
1073036703 Karen Parker Licensed Psychiatric Technician 12944 Dolomite Lane, Moreno Valley, CA 92555 2017-07-25
1861923674 Elena Vizcaino Behavior Technician 15670 Turnberry St, Moreno Valley, CA 92555 2017-03-23
1154744522 Nancy Chivichon Dietitian, Registered 28648 Avenue Ave., Moreno Valley, CA 92555 2014-01-21
Find all providers in zip 92555

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902417124 Fely Embrado Nurse Practitioner 12632 Magnolia Dr, Moreno Valley, CA 92555-3513 2020-08-11
1255872719 Sibonisiwe Moyo Johnson Nurse Practitioner 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 2017-03-16
1730571209 Cecelia Patrician Cartman Seals Nurse Practitioner 26590 Kalmia Ave, Moreno Valley, CA 92555-1760 2015-02-20
1457770836 Uchenna G Orji Nurse Practitioner 24853 Alessandro Blvd, #4, Moreno Valley, CA 92553-6102 2014-04-14
1699842435 Betty A Stevens Nurse Practitioner 12416 Prairie Wind Trl, Moreno Valley, CA 92555-5405 2006-11-29
1457969032 Heain Aung Nurse Practitioner 26520 Cactus Ave Ste A2006, Moreno Valley, CA 92555-3927 2020-07-20
1033773379 Holly Vanderhyde Nurse Practitioner 12364 Perris Blvd, Moreno Valley, CA 92557-7423 2019-04-23
1346706561 Courtney Renee Moore Nurse Practitioner 26520 Cactus Ave, Moreno Valley, CA 92555-3927 2019-02-12
1639633084 Ian William Kirby Nurse Practitioner 22675 Alessandro Blvd, Moreno Valley, CA 92553-8551 2019-01-29
1932671567 Sherri Grace Myung Nurse Practitioner 14114 Business Center Dr Ste D, Moreno Valley, CA 92553-9113 2018-12-20
Find all providers in MORENO VALLEY

Competitor

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City MORENO VALLEY
Zip Code 92555

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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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