GINA M SULLIVAN (NPI# 1710506100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710506100 |
| Entity Type | Individual |
| Full Name | GINA M SULLIVAN |
| Credential | CMA CPC |
| Practice Address |
4235 County Road 2629 Caddo Mills TX 75135-7476 |
| Practice Telephone | 9032590550 |
| Practice Fax Number | 9033286568 |
| Mailing Telephone | 9032590550 |
| Mailing Fax Number | 9033286568 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246YC3302X |
Spec/Tech, Health Info Specialization: Coding Specialist, Physician Office Based |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427392687 | Gina Marie Sullivan | Nurse Practitioner | 125 Hospital Dr, Watertown, WI 53098-3303 | 2012-11-12 |
| 1801198361 | Gina Marie Sullivan | Health Educator | 245 N Murray St, Banning, CA 92220-5528 | 2010-12-03 |
| 1265750228 | Gina T Sullivan | Obstetrics & Gynecology | 33 Kendall St, Worcester, MA 01605-2726 | 2010-05-13 |
| Street Address |
4235 COUNTY ROAD 2629 |
| City | CADDO MILLS |
| State | TX |
| Zip Code | 75135-7476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255810438 | Lindsey Nicole Roberts | Speech-Language Pathologist | 1979 Fm 36 S, Caddo Mills, TX 75135 | 2018-08-09 |
| 1821590761 | Harry Rx LLC | Pharmacy | 2809 State Highway 66 E Ste A, Caddo Mills, TX 75135-6234 | 2018-03-07 |
| 1891313219 | Laura Belmonte | Behavioral Analyst | 4325 County Road 2608, Caddo Mills, TX 75135-6277 | 2020-07-13 |
| 1356953277 | Thrive Behavior Analysis | Community/Behavioral Health | 4325 County Road 2608, Caddo Mills, TX 75135-6277 | 2020-08-21 |
| 1104326768 | Sharon Gene Bramlett | Technician | 1543 Kasey Ct, Caddo Mills, TX 75135-6285 | 2018-02-20 |
| 1013205160 | Michele D Grabowski | Registered Nurse | 6347 Bridle Trl, Caddo Mills, TX 75135-6290 | 2011-07-11 |
| 1942342365 | Caddo Mills Isd | Local Education Agency (LEA) | 2311 Greenville St, Caddo Mills, TX 75135-6449 | 2007-02-13 |
| 1629624408 | Melissa Duncan | Speech-Language Pathologist | 3559 Fm 3211, Caddo Mills, TX 75135-6496 | 2019-08-16 |
| 1811433329 | Tasha Toliver | Residential Treatment Facility, Physical Disabilities | 2023 Laura St, Caddo Mills, TX 75135-7502 | 2017-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891313219 | Laura Belmonte | Behavioral Analyst | 4325 County Road 2608, Caddo Mills, TX 75135-6277 | 2020-07-13 |
| 1629624408 | Melissa Duncan | Speech-Language Pathologist | 3559 Fm 3211, Caddo Mills, TX 75135-6496 | 2019-08-16 |
| 1255810438 | Lindsey Nicole Roberts | Speech-Language Pathologist | 1979 Fm 36 S, Caddo Mills, TX 75135 | 2018-08-09 |
| 1821590761 | Harry Rx LLC | Pharmacy | 2809 State Highway 66 E Ste A, Caddo Mills, TX 75135-6234 | 2018-03-07 |
| 1104326768 | Sharon Gene Bramlett | Technician | 1543 Kasey Ct, Caddo Mills, TX 75135-6285 | 2018-02-20 |
| 1811433329 | Tasha Toliver | Residential Treatment Facility, Physical Disabilities | 2023 Laura St, Caddo Mills, TX 75135-7502 | 2017-01-09 |
| 1013205160 | Michele D Grabowski | Registered Nurse | 6347 Bridle Trl, Caddo Mills, TX 75135-6290 | 2011-07-11 |
| 1942342365 | Caddo Mills Isd | Local Education Agency (LEA) | 2311 Greenville St, Caddo Mills, TX 75135-6449 | 2007-02-13 |
| 1356953277 | Thrive Behavior Analysis | Community/Behavioral Health | 4325 County Road 2608, Caddo Mills, TX 75135-6277 | 2020-08-21 |
| Taxonomy Code | 246YC3302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Health Info |
| Specialization | Coding Specialist, Physician Office Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1346739661 | Prince Nnamdi Ezeokafor | Spec/Tech, Health Info | 1520 Lorena Dr, Royse City, TX 75189-5820 | 2018-05-02 |
| 1255840500 | Americas Medical Billing Firm LLC | Spec/Tech, Health Info | 6090 Surety Dr Ste 105, El Paso, TX 79905 | 2017-09-28 |
| 1710496625 | Ivan Ramon Manuel Chavez | Spec/Tech, Health Info | 2924 Piedmont Dr, El Paso, TX 79902 | 2017-09-22 |
| 1750747317 | Destra Diagnostics | Spec/Tech, Health Info | 469 Leisure Ln, Coppell, TX 75019-2545 | 2016-01-12 |
| 1861867327 | Medical Intermediaries of Texas LLC | Spec/Tech, Health Info | 2601 Woodland Park Dr, 4214, Houston, TX 77077-6161 | 2015-12-09 |
| 1235612334 | Latina Martindale | Spec/Tech, Health Info | 280 Highway 418 E, Silsbee, TX 77656-3729 | 2018-09-13 |
| City | CADDO MILLS |
| Zip Code | 75135 |
Please comment or provide details below to improve the information on GINA M SULLIVAN.
| 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.