JENNA SULLIVAN (NPI# 1548558257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548558257 |
| Entity Type | Individual |
| Full Name | JENNA SULLIVAN |
| Credential | MPAS, PA-C |
| Practice Address |
327 Central Avenue Se Minneapolis MN 55414 |
| Practice Telephone | 6123791119 |
| Mailing Telephone | 6123791119 |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2016-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10943 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MN BOARD OF MEDICAL PRACTICE LICENSE | 10943 | 01 |
| MN | NCCPA CERTIFICATE | 1098277 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588106686 | Jenna Lynn Sullivan | Occupational Therapist | 1813 E 33rd St, Brooklyn, NY 11234-4425 | 2016-11-07 |
| 1568935088 | Jenna Sullivan | Student in an Organized Health Care Education/Training Program | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2019-01-08 |
| 1366936932 | Jenna Lelsey Sullivan | Optometrist | 1 Bank Ave, Kaukauna, WI 54130-2581 | 2018-06-18 |
| 1871901769 | Jenna Sullivan | Specialist/Technologist | 8322 Bellona Ave, St 100, Towson, MD 21204 | 2014-07-24 |
| 1003223314 | Jenna Sullivan | Nurse Anesthetist, Certified Registered | 7500 Mercy Road, Omaha, NE 68124-2319 | 2014-07-18 |
| Street Address |
327 CENTRAL AVENUE SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
| 1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
| 1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
| 1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
| Find all providers in zip 55414 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| 1932714037 | Kseniia Sosinovych | Physician Assistant | 615 E 16th St Apt 202, Minneapolis, MN 55404-1503 | 2020-09-15 |
| 1659986743 | Collin Jeffery Barry | Physician Assistant | 2220 E Franklin Ave Apt 315, Minneapolis, MN 55404-2284 | 2020-09-15 |
| 1568077626 | Alyssa Clements | Physician Assistant | 2211 Riverside Ave # 149, Minneapolis, MN 55454-1350 | 2020-09-14 |
| 1578178703 | Nicholas H Sorenson | Physician Assistant | 129 Melbourne Ave Se Apt 2, Minneapolis, MN 55414-3515 | 2020-09-14 |
| 1861016743 | Meredith Elise Lafond | Physician Assistant | 624 4th Ave Se Apt 2, Minneapolis, MN 55414-1625 | 2020-06-05 |
| 1477182053 | Hannah Grace Johnson | Physician Assistant | 3437 Chicago Ave, Minneapolis, MN 55407-2107 | 2020-04-05 |
| 1851921431 | Nasima Omar | Physician Assistant | 3321 Emerson Ave S, Minneapolis, MN 55408-3528 | 2020-01-22 |
| 1861022600 | Jeremiah Malecek | Physician Assistant | 3755 Bryant Ave N, Minneapolis, MN 55412-2156 | 2020-01-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55414 |
Please comment or provide details below to improve the information on JENNA 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.