MRS. AMANDA LEIGH SULLIVAN


Address: 8229 Clayton Rd, Suite 204, Saint Louis, MO 63117-1155
Phone: 3147217325

MRS. AMANDA LEIGH SULLIVAN (NPI# 1730141151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730141151
Entity Type Individual
Full Name MRS. AMANDA LEIGH SULLIVAN
Credential MS, ATC
Practice Address 8229 Clayton Rd
Suite 204
Saint Louis
MO 63117-1155
Mailing Address 3205 5 Oaks Dr
Arnold
MO 63010-3886
Practice Telephone 3147217325
Enumeration Date 2006-04-03
Last Update Date 2011-06-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
096-001527 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
2004020472 MO Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers AMANDA SULLIVAN

NPI Name Taxonomy Address Enumeration
1275878183 Amanda J Sullivan Physical Therapy Assistant 71 Millard Rd, North Attleboro, MA 02760-4407 2012-12-04
1912291436 Amanda Sullivan Licensed Practical Nurse 364 Lake Marie Rd, Liberty, NY 12754-2924 2011-06-01
1750613576 Amanda K Sullivan Speech-Language Pathologist 9307 N 3rd Dr, Phoenix, AZ 85021-3555 2010-02-03
1447483458 Amanda L Sullivan Counselor 770 N Cotner Blvd Ste 330, Lincoln, NE 68505-2377 2009-08-25
1447208491 Amanda Clare Sullivan Acupuncturist 5 Bon Air Rd Ste 109, Larkspur, CA 94939-1137 2006-05-04
1093349672 Amanda Sullivan Case Manager/Care Coordinator 1000 Eddy St, Providence, RI 02905-4739 2020-02-24
1851941280 Amanda Sullivan Counselor 74 East St, Plainville, CT 06062-2367 2019-09-17
1033766415 Amanda Anne Sullivan Pharmacist 801 E Sunset Dr, Waukesha, WI 53189-7816 2019-08-21
1386207462 Amanda Sullivan Occupational Therapist 6811 Campfield Rd, Baltimore, MD 21207-4657 2019-04-15
1295246460 Amanda Marie Sullivan Counselor 609 Northshore Dr, Bellingham, WA 98226-4414 2017-10-16

Office Location

Street Address 8229 CLAYTON RD
SUITE 204
City SAINT LOUIS
State MO
Zip Code 63117-1155

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326331067 Tim Steinhaus Specialist/Technologist 8229 Clayton Rd, 204, Saint Louis, MO 63117-1155 2011-05-26
1508996166 Tracy Lynn Edelmann Chiropractor 8229 Clayton Rd, Ste 204, Saint Louis, MO 63117-1155 2007-03-06
1487720363 Ronald Clive Hertel Orthopaedic Surgery 8229 Clayton Rd, Ste 204, Saint Louis, MO 63117-1155 2006-11-24
1043394984 Kevin T Thorpe Dentist 8229 Clayton Rd, Suite 201, Saint Louis, MO 63117-1155 2006-10-25
1699711739 Sandra G Levy Chiropractor 8229 Clayton Rd, Suite 204, Saint Louis, MO 63117-1155 2006-06-20
1437109626 Katharine M Conable Chiropractor 8229 Clayton Rd, Saint Louis, MO 63117-1155 2006-05-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255956611 Efehi Kelly Ogbomo Student in an Organized Health Care Education/Training Program 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 2020-06-11
1619533890 Abdul Rauf Student in an Organized Health Care Education/Training Program 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 2019-05-14
1083278477 Mohamed Maali Gumaa Mohamed Student in an Organized Health Care Education/Training Program 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 2019-05-01
1750945556 Samrat Jun Jayanth Student in an Organized Health Care Education/Training Program 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 2019-04-26
1215491329 Latonya Allen Counselor 1612 S. Big Bend Blvd, St. Louis, MO 63117 2019-01-23
1265917025 Blue Stars Therapy, LLC Occupational Therapist 1101 Edward Terrace, Apt A, St. Louis, MO 63117 2018-09-27
1770060014 Ultra Care Home Services LLC Home Health 7353 Dale Ave, Saint Louis, MO 63117 2018-07-19
1235623562 Melissa Valerie Taylor Counselor Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 2018-06-20
1124517289 Jideofor Ebony Obodozie Student in an Organized Health Care Education/Training Program 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 2018-05-04
1770071706 Sivaram Prabhuji Muppaneni Student in an Organized Health Care Education/Training Program Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 2018-04-25
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265039192 Carley M Swabby Specialist/Technologist 652 Bismark Ave, Saint Louis, MO 63119-1528 2020-10-05
1194383943 Elizabeth Lynch Specialist/Technologist 605 Clara Ave Apt 609, Saint Louis, MO 63112-1936 2019-06-05
1063970242 Abby Hoffman Specialist/Technologist 7318 Brunswick Ave, Saint Louis, MO 63119-3329 2019-03-07
1649738824 Emma C Yonkers Specialist/Technologist 4050 W Pine Blvd Apt 3207, Saint Louis, MO 63108-3349 2019-03-07
1386102556 Justin Durham Specialist/Technologist 8425 Engler Ave, Saint Louis, MO 63114-4126 2019-03-06
1538626007 Justin Ullom Specialist/Technologist 1111 Victor St, Saint Louis, MO 63104-4323 2019-02-21
1003373564 Brian Tyler Leach Specialist/Technologist 6120 Wanda Ave, Saint Louis, MO 63116-2225 2019-02-20
1003372566 Jesse Schmitt Specialist/Technologist 3939 W Pine Blvd, Saint Louis, MO 63108-3220 2019-02-20
1326504846 Breanna Kenney Specialist/Technologist 1024 Colebrook Dr, Saint Louis, MO 63119-4757 2019-02-20
1083170518 Paul Samuel Lamb Specialist/Technologist 3805 Lindell Blvd Apt A, Saint Louis, MO 63108-3451 2019-02-20
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Competitor

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City SAINT LOUIS
Zip Code 63117

Improve Information

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Dataset Information

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.

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