DR. STEPHANIE GRACE SULLIVAN (NPI# 1629215009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629215009 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE GRACE SULLIVAN |
| Credential | D.C. |
| Practice Address |
113 Oak Laurel Woodstock GA 30188-6721 |
| Practice Telephone | 7707570048 |
| Mailing Telephone | 7707570048 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR008394 | GA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255828307 | Stephanie Marie Sullivan | Marriage & Family Therapist | 415 S Main St Ste E, Rochester, MI 48307-2077 | 2018-04-15 |
| 1568901544 | Stephanie Ann Sullivan | Nurse Anesthetist, Certified Registered | Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 | 2017-02-23 |
| 1740608017 | Stephanie Sullivan | Speech-Language Pathologist | 3950 Sw 16th St, Okeechobee, FL 34974 | 2014-04-02 |
| 1619150158 | Stephanie Sue Sullivan | Licensed Practical Nurse | 5773 Golden Eagle Cir, Palm Beach Gardens, FL 33418-1518 | 2007-12-06 |
| 1063038115 | Stephanie N Sullivan | Dietitian, Registered | 100 Medical Center Way, Somers Point, NJ 08244-2300 | 2020-06-24 |
| 1871063396 | Stephanie Ashleigh Sullivan | Behavior Technician | 301 S Tubb St Ste A1, Oakland, FL 34760-8859 | 2018-11-27 |
| 1861968356 | Stephanie E Sullivan | Massage Therapist | 1301 Herr Ln, Louisville, KY 40222-4388 | 2018-10-23 |
| 1750801924 | Stephanie Leigh Sullivan | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2017-06-20 |
| 1750779989 | Stephanie Sullivan | Community/Behavioral Health | 145 Maple Ave, Red Bank, NJ 07701-1717 | 2014-12-22 |
| 1679987796 | Stephanie Sullivan | Speech-Language Pathologist | 501 Valley View Blvd, Altoona, PA 16602-6410 | 2014-06-17 |
| Street Address |
113 OAK LAUREL |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188-6721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245477637 | Wellness Wagon Chiropractic, LLC | Clinic/Center | 113 Oak Laurel, Woodstock, GA 30188 | 2009-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992362107 | Nicholas Reed Maassen | Chiropractor | 2990 Eagle Dr Ste 102, Woodstock, GA 30189-5575 | 2019-05-22 |
| 1063908218 | Evolve Chiropractic Woodstock LLC | Chiropractor | 2440 Lake Shore Drive, Woodstock, IL 60098-2980 | 2018-07-10 |
| 1578070140 | Aaron Joseph Ozimek | Chiropractor | 220 Heritage Walk Ste 106, Woodstock, GA 30188-6458 | 2018-01-04 |
| 1750736526 | Kaitlyn Beth Vanstrien | Chiropractor | 8811 Highway 92 Ste 114, Woodstock, GA 30189-6509 | 2016-04-29 |
| 1407226426 | Patricia Di Benedetto | Chiropractor | 1607 Skyridge Dr, Woodstock, GA 30188-3965 | 2015-10-02 |
| 1396115887 | Andrew Cort | Chiropractor | 9 Rock City Rd, Woodstock, NY 12498-1219 | 2015-09-28 |
| 1023407400 | Norman Clarence Colby Jr. | Chiropractor | 1501 Regency Way, Woodstock, GA 30189-5487 | 2015-01-22 |
| 1578974390 | Optimum Health Rehab of Woodstock LLC | Chiropractor | 2360 Towne Lake Pkwy Ste 104, Woodstock, GA 30189-5576 | 2014-05-14 |
| 1649699430 | Red Bridge LLC | Chiropractor | 20032 Highway 11, Unit 17, Woodstock, AL 35188-3733 | 2014-04-09 |
| 1134544844 | James David Gaudreau | Chiropractor | 160 Route 171, Woodstock, CT 06281-3123 | 2014-03-04 |
| Find all providers in WOODSTOCK | ||||
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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.