KATIE MICHELLE SULLIVAN


Address: 8630 Fenton St Ste 1200, Silver Spring, MD 20910-3808
Phone: 2408395811

KATIE MICHELLE SULLIVAN (NPI# 1558970251) 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) 1558970251
Entity Type Individual
Full Name KATIE MICHELLE SULLIVAN
Credential NP
Practice Address 8630 Fenton St Ste 1200
Silver Spring
MD 20910-3808
Mailing Address 8630 Fenton St Ste 1204
Silver Spring
MD 20910-3808
Practice Telephone 2408395811
Practice Fax Number 3014950318
Mailing Telephone 2408395811
Mailing Fax Number 3014950318
Enumeration Date 2020-07-28
Last Update Date 2020-07-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner R240224 MD Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATIE SULLIVAN

NPI Name Taxonomy Address Enumeration
1730715830 Katie Sullivan Pediatrics 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 2020-03-20
1336784628 Katie Halleran Sullivan Nurse Practitioner 3919 N Maple St, Spokane, WA 99205-1349 2019-11-11
1033775473 Katie Lorin Sullivan Physical Therapist 3947 Gulf Shores Pkwy Ste 260, Gulf Shores, AL 36542-2729 2019-05-10
1578022430 Katie Sullivan Behavior Technician 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 2019-03-19
1740732080 Katie E. Sullivan Physical Therapist 2106 Executive Dr, Hampton, VA 23666-2402 2016-11-03
1649524059 Katie Jo Sullivan Nurse Practitioner 8579 Commerce Dr Ste 104, Easton, MD 21601-7420 2012-11-07
1447543079 Katie Marie Sullivan Developmental Therapist 321 Fortune Blvd, Milford, MA 01757-1750 2011-05-16
1851556559 Katie L Sullivan Speech-Language Pathologist 5040 E Shea Blvd, Suite 168, Scottsdale, AZ 85254-4600 2008-07-22
1073534863 Katie Leigh Sullivan Physical Therapist 1630 Commanche Ave, Green Bay, WI 54313-6089 2006-07-21

Office Location

Street Address 8630 FENTON ST STE 1200
City SILVER SPRING
State MD
Zip Code 20910-3808

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770522476 Margaret Y Chang Family Medicine 8630 Fenton St Ste 1200, Silver Spring, MD 20910-3808 2006-06-06
1659925345 Ericka L Portela Solis Social Worker 8630 Fenton St Ste 1200, Silver Spring, MD 20910-3808 2019-07-30
1568016608 Sonya J Bruton Psychologist 8630 Fenton St Ste 1200, Silver Spring, MD 20910-3808 2019-07-26
1851873988 Yanci Claribel Morataya Registered Nurse 8630 Fenton St Ste 1200, Silver Spring, MD 20910-3808 2018-09-05
1497253686 Helen Denisse Mejia Registered Nurse 8630 Fenton St Ste 1200, Silver Spring, MD 20910-3808 2018-01-23
1972050912 Luz Ramos-geary Registered Nurse 8630 Fenton St Ste 1200, Silver Spring, MD 20910-3808 2016-09-07
1437507308 Asma Hamid Registered Nurse 8630 Fenton St Ste 1200, Silver Spring, MD 20910-3808 2016-06-01
1679950125 Emily Breton Physician Assistant 8630 Fenton St Ste 1200, Silver Spring, MD 20910 2015-05-05
1538559778 Latoya Victor Nurse Practitioner 8630 Fenton St Ste 1200, Silver Spring, MD 20910-3808 2015-01-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417501966 Marie J Celeste Developmental Therapist 623 Ray Dr, Silver Spring, MD 20910 2019-08-01
1205398054 Maria Andrea Binger Speech-Language Pathologist Rosemary Hills Elementary School, 2111 Porter Road, Silver Spring, MD 20910 2019-04-02
1053882803 Margaret A Avallone Speech-Language Pathologist 1515 Sharon Drive, Silver Spring, MD 20910 2018-12-05
1518434117 Center for Pain Management LLC Non-Pharmacy Dispensing Site 8455 Colesville Road, Suite 200, Silver Spring, MD 20910 2018-11-01
1669951927 Camille Smith Espinoza Social Worker 8601 Georgia Ave Ste 712, Silver Spring, MD 20910 2018-08-08
1053838615 Grace Elaine Lozano Behavior Technician 8609 2nd Ave Suite 506b, Suite 506b, Silver Spring, MD 20910 2017-08-24
1417471160 Sooin Lee Dentist 923 Bonifant St Unit 1, Silver Spring, MD 20910 2017-08-02
1366963993 Rct Endodontics, LLC Dentist 804 Pershing Dr. #102, Silver Spring, MD 20910 2017-07-05
1720530363 Aurore Ondongo Nurse's Aide 8600 16th Street, Apt 909, Silver Spring, MD 20910 2016-10-31
1700239993 Kelli Teresa Harkless Advanced Practice Midwife 1400 Forest Glen Rd Ste 525, Silver Spring, MD 20910 2016-07-22
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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
1174140990 Azeb Girma Kebede Nurse Practitioner 11511 Sutherland Hill Way, Silver Spring, MD 20904-4205 2020-06-27
1386276137 Paulina Aliza Lerman Nurse Practitioner 11402 Charlton Dr, Silver Spring, MD 20902-3107 2020-02-10
1902311475 Asmita Neupane Nurse Practitioner 9430 Curran Rd, Silver Spring, MD 20901-2804 2017-12-06
1821418591 Bertha Nyagaya Nyagaya-wojnarski Nurse Practitioner 14511 Layhill Road, Silver Spring, MD 20906 2014-04-22
1528318896 Mercy Urgent Care Clinic LLC Nurse Practitioner 2257 Bel Pre Rd, Silver Spring, MD 20906-2204 2012-09-14
1891063822 Prudence Ashie Mancho Nurse Practitioner 14221 Northgate Dr, Silver Spring, MD 20906-2225 2011-12-05
1912064783 Eileen M Cape Nurse Practitioner 1 Discovery Pl, Silver Spring, MD 20910-3354 2007-01-02
1477555795 Franz Karl Byars Nurse Practitioner 10801 Lockwood Dr, Ste 200, Silver Spring, MD 20901-1562 2005-06-01
1326660689 Lovecy Binoy Nurse Practitioner 11890 Healing Way, Silver Spring, MD 20904-7917 2020-05-09
1346713591 Nina Chandra Mahapatra Nurse Practitioner 10750 Columbia Pike Ste 501, Silver Spring, MD 20901-4460 2019-01-09
Find all providers in SILVER SPRING

Competitor

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City SILVER SPRING
Zip Code 20910

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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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