SCOTT SULLIVAN (NPI# 1689100471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689100471 |
| Entity Type | Individual |
| Full Name | SCOTT SULLIVAN |
| Credential | M.D. |
| Practice Address |
2390 W Congress St Lafayette LA 70506-4205 |
| Practice Telephone | 3183811097 |
| Mailing Telephone | 3183811097 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | LA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265950737 | Scott Jeffrey Sullivan | Dentist | 3516 S 47th St Ste 104, Tacoma, WA 98409-4427 | 2017-09-06 |
| 1477070522 | Scott Sullivan | Physical Therapist | 5320 Mark Dabling Blvd # 100, Colorado Springs, CO 80918-3839 | 2017-08-29 |
| 1063612844 | Scott Louis Sullivan | Dentist | 76 Doctors Park Dr., Santa Rosa, CA 95405-6615 | 2007-07-20 |
| 1154344000 | Scott Keith Sullivan Jr. | Surgery | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2006-07-25 |
| 1972134567 | Scott R Sullivan | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2020-02-01 |
| 1770056608 | Scott Lamar Sullivan | Counselor | 7000b S Center Dr, Clearlake, CA 95422-8131 | 2019-01-03 |
| 1386143899 | Scott Sullivan | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2018-02-10 |
| 1932467123 | Scott Sullivan | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2012-04-25 |
| 1033496179 | Scott Patric Sullivan | Specialist/Technologist | 205 S Main St, Suite C, Longmont, CO 80501-1716 | 2011-11-03 |
| 1750440004 | Scott G Sullivan | Physician Assistant | 301 Andrews Avenue, (lyster Army Health Clinic), Fort Rucker, AL 36362-5000 | 2006-12-06 |
| Street Address |
2390 W CONGRESS ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468353 | Tina Marie Boudreaux | Nurse Practitioner | 2390 W Congress St, Lafayette, LA 70506-4205 | 2005-06-26 |
| 1548869647 | Alex Marie Boudreaux | Audiologist | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-10-20 |
| 1265042782 | University Hospital & Clinics, Inc. | Clinic/Center | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-08-10 |
| 1619599479 | Angela Leblanc | Pharmacist | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-05-14 |
| 1366064388 | Suzette Bonneval | Pharmacist | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-05-13 |
| 1134757032 | Jacob Michael Clement | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-28 |
| 1902433535 | De'angellica Vaughn-allen | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-24 |
| 1891322665 | Joseph Gohres Prechter Jr. | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-23 |
| 1861028904 | Christopher Chedid | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-20 |
| 1750917712 | Priscilla Tutu | Student in an Organized Health Care Education/Training Program | 2390 W Congress St, Lafayette, LA 70506-4205 | 2020-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831726082 | Alyse Meaux | Student in an Organized Health Care Education/Training Program | 99 Wentworth Blvd, Lafayette, LA 70508-4862 | 2020-03-26 |
| 1780210682 | Katelyn Petitfils Joubert | Student in an Organized Health Care Education/Training Program | 112 Soho Cir, Lafayette, LA 70508-4200 | 2020-03-23 |
| 1568098911 | Nathan Fletcher | Student in an Organized Health Care Education/Training Program | 3366 Mt Diablo Blvd # B404, Lafayette, CA 94549-4028 | 2020-03-18 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1194286955 | Christopher James Clark | Student in an Organized Health Care Education/Training Program | 2390 W Congress St # 2, Lafayette, LA 70506-4205 | 2019-03-26 |
| 1841759099 | Jeremy White | Student in an Organized Health Care Education/Training Program | 109 Adonis Dr, Lafayette, LA 70506-5402 | 2019-03-18 |
| 1225597446 | Kelsey Doguet | Student in an Organized Health Care Education/Training Program | 109 Saint Michael St, Lafayette, LA 70506-4743 | 2019-03-18 |
| 1841755824 | Madison Tilley | Student in an Organized Health Care Education/Training Program | 3661 Stonegate Ct, Lafayette, IN 47909-7212 | 2019-02-05 |
| 1114491685 | Mallory Mancuso | Student in an Organized Health Care Education/Training Program | 110 Lana Dr, Lafayette, LA 70503-4505 | 2019-01-17 |
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| Find all providers in LAFAYETTE | ||||
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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.