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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | R240224 | MD | Physician Assistants & Advanced Practice Nursing Providers |
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 |
Street Address |
8630 FENTON ST STE 1200 |
City | SILVER SPRING |
State | MD |
Zip Code | 20910-3808 |
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 |
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 |
Find all providers in zip 20910 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(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. |
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 |
City | SILVER SPRING |
Zip Code | 20910 |
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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.