SANDRA SULLIVAN (NPI# 1588963490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588963490 |
Entity Type | Individual |
Full Name | SANDRA SULLIVAN |
Credential | PA-C |
Practice Address |
3497 Duluth Park Ln Suite 200 Duluth GA 30096-3227 |
Practice Telephone | 7708139775 |
Practice Fax Number | 7708138976 |
Mailing Telephone | 7708139775 |
Mailing Fax Number | 7708138976 |
Enumeration Date | 2011-03-17 |
Last Update Date | 2011-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
003288 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457468241 | Sandra Jane Sullivan | Chiropractor | 2929 N Galloway Ave, Ste 109, Mesquite, TX 75150-6364 | 2006-08-25 |
1073851663 | Sandra Judd Sullivan | Psychologist | 155 Bovet Rd, Suite 404, San Mateo, CA 94402-3108 | 2013-01-16 |
1366744286 | Sandra Sullivan | Registered Nurse | 50 Sanatorium Rd, Bldg F, Pomona, NY 10970-3555 | 2010-11-29 |
1639487952 | Sandra Eberle Sullivan | Nurse Practitioner | 320 Santa Fe Dr, Suite 308, Encinitas, CA 92024-5138 | 2010-09-21 |
1154541639 | Sandra Sullivan | Registered Nurse | 1207 E Herndon Ave, Fresno, CA 93720-3235 | 2007-04-26 |
1225253909 | Sandra Kay Sullivan | Counselor | 670 Placerville Dr Ste 2, Placerville, CA 95667-4200 | 2007-04-16 |
1700913035 | Sandra J Sullivan | Dietitian, Registered | 900 Main St, Oakville, CT 06779-1999 | 2007-02-27 |
1003967407 | Sandra J Sullivan | Physician Assistant | 41 Mall Rd, Burlington, MA 01805-0001 | 2007-01-15 |
1386733574 | Sandra K Sullivan | Nurse Practitioner | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2006-10-12 |
1770524829 | Sandra E Sullivan | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-09 |
Street Address |
3497 DULUTH PARK LN SUITE 200 |
City | DULUTH |
State | GA |
Zip Code | 30096-3227 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548319197 | Bright Horizon Imaging Center | Clinic/Center | 3497 Duluth Park Ln, Duluth, GA 30096-3227 | 2007-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
Find all providers in zip 30096 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336615921 | Katelyn M Walsh | Physician Assistant | 400 E Third Street, Duluth, MN 55805-1951 | 2018-10-22 |
1164977468 | Chelsea Ruda | Physician Assistant | 1012 E 2nd St, Duluth, MN 55805 | 2016-08-17 |
1083023733 | Jillian Reed | Physician Assistant | 407 E 3rd St, Duluth, MN 55805-1950 | 2014-08-07 |
1538402763 | Larissa Pirie Messenger | Physician Assistant | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2013-04-06 |
1790031011 | Arlene L Salmon | Physician Assistant | 4855 River Green Pkwy, Suite 700, Duluth, GA 30096-8336 | 2012-07-24 |
1376848549 | Nathina Scarlett Melton | Physician Assistant | 9900 Medlock Bridge Rd, Duluth, GA 30097-2017 | 2011-01-20 |
1568776409 | Pamela J Hermes | Physician Assistant | 407 East Third Street, Essentia Health St. Mary's Medical Center, Duluth, MN 55805-1950 | 2010-08-03 |
1952531444 | Thomas John Kogowski | Physician Assistant | 407 East 3rd Street, St. Mary's Medical Center, Duluth, MN 55805 | 2009-07-20 |
1023276334 | Donna L Crawford | Physician Assistant | 3855 Pleasant Hill Rd, Suite 420, Duluth, GA 30096-1407 | 2008-05-23 |
1972638757 | Faith Marie Nyberg | Physician Assistant | 400 E 3rd St, Duluth Clinic, Duluth, MN 55805-1951 | 2007-02-22 |
Find all providers in DULUTH |
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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.