JEAN SULLIVAN (NPI# 1578521159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578521159 |
| Entity Type | Individual |
| Full Name | JEAN SULLIVAN |
| Credential | NP |
| Practice Address |
400 Highland Ave Suite 1 Salem MA 01970 |
| Mailing Address |
Po Box 930 Salem MA 01970 |
| Practice Telephone | 9787419500 |
| Practice Fax Number | 9787413927 |
| Mailing Telephone | 9788256581 |
| Mailing Fax Number | 9788257070 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 86116 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043362437 | Jean Chisholm Sullivan | Social Worker | 153 Rider Avenue, Patchogue, NY 11772 | 2007-01-17 |
| 1417928227 | Jean Sullivan | Psychologist | 210 S Juniper St, Ste 205, Escondido, CA 92025-4229 | 2006-01-30 |
| 1710928031 | Jean Kiszka Sullivan | Nurse Anesthetist, Certified Registered | 2815 S Seacrest Blvd, Boynton Beach, FL 33435-7934 | 2006-06-09 |
| Street Address |
400 HIGHLAND AVE SUITE 1 |
| City | SALEM |
| State | MA |
| Zip Code | 01970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164928701 | Mony D Chan | Nurse Practitioner | 400 Highland Ave, Suite 6, Salem, MA 01970 | 2018-04-03 |
| 1982154142 | Francesca Anna Carmone | Nurse Practitioner | 400 Highland Ave, Salem, MA 01970-7003 | 2016-10-11 |
| 1598153827 | Urology Consultants of The Ns | Specialist | 400 Highland Ave, Suite 6, Salem, MA 01970-7003 | 2015-01-09 |
| 1184027823 | Eye Center of The North Shore | Technician/Technologist | 400 Highland Ave, Suite 20, Salem, MA 01970-7003 | 2014-10-08 |
| 1609177948 | Eye Center of The North Shore, LLC | Eyewear Supplier (Equipment, not the service) | 400 Highland Ave, Suite 20, Salem, MA 01970-7003 | 2010-11-03 |
| 1265752539 | Meaghan Crowley Kearns | Internal Medicine | 400 Highland Ave, Suite 1, Salem, MA 01970-7003 | 2010-06-09 |
| 1700037934 | Urology Consultants of The Ns | Durable Medical Equipment & Medical Supplies | 400 Highland Ave, Suite 6, Salem, MA 01970-7003 | 2008-10-07 |
| 1053562330 | Eye Center of The North Shore, LLC | Ophthalmology | 400 Highland Ave, Suite 20, Salem, MA 01970-7003 | 2008-10-06 |
| 1114181054 | Mark Laspina | Urology | 400 Highland Ave, Suite 6, Salem, MA 01970-7003 | 2008-07-10 |
| 1275729428 | Marina Joseph | Internal Medicine | 400 Highland Ave, Suite #1, Nspg, Salem, MA 01970-7003 | 2007-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| 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 |
|---|---|---|---|---|
| 1134759012 | Caleb James Calder | Nurse Practitioner | 11 Oakland St, Salem, MA 01970-1520 | 2020-01-20 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1407371388 | Debra Lee Jenkins | Nurse Practitioner | 1905 Mcvitty Rd, Salem, VA 24153-7405 | 2017-08-11 |
| 1003282310 | Rachell Renee Davis | Nurse Practitioner | 1793 13th St. Se, Salem, OR 97302 | 2015-08-20 |
| 1194108365 | Danielle Marlene Dupuis | Nurse Practitioner | 810 Commercial St Se, Salem, OR 97302 | 2015-07-06 |
| 1306272471 | Josh Hooton | Nurse Practitioner | 251 W State Road 198 Ste 3, Salem, UT 84653-5608 | 2013-09-20 |
| 1104082197 | Richard Fredrick Meyers | Nurse Practitioner | 670 Hawthorne Ave Se, Suite 160, Salem, OR 97301-6884 | 2008-07-30 |
| 1831398122 | Karlen E Luthy | Nurse Practitioner | 118 N Main St Ste B, Salem, UT 84653-5698 | 2007-07-16 |
| 1174603401 | Anthony G Haralabatos | Nurse Practitioner | 59 Stiles Rd 104, Salem, NH 03079-5816 | 2006-10-17 |
| 1457378044 | Robert M Wilkinson | Nurse Practitioner | 141 Hospital Dr Ste 103, Salem, KY 42078-8043 | 2006-07-17 |
| Find all providers in SALEM | ||||
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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.