MS. TONGIA SULLIVAN (NPI# 1730372814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730372814 |
| Entity Type | Individual |
| Full Name | MS. TONGIA SULLIVAN |
| Credential | BS SOCIAL WORK |
| Practice Address |
1310 M St Fresno CA 93721-1808 |
| Mailing Address |
3343 W Oswego Ave Fresno CA 93711-1518 |
| Practice Telephone | 5592642700 |
| Practice Fax Number | 5592642767 |
| Mailing Telephone | 5594395437 |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2018-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RW0184 | CA | Behavioral Health & Social Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1310 M ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003835547 | Melanie Elayne King | Nurse Practitioner | 1310 M St, Fresno, CA 93721-1808 | 2006-07-18 |
| 1356941223 | Rittman Thao | Counselor | 1310 M St, Fresno, CA 93721-1808 | 2020-10-29 |
| 1396358768 | Maia Regina Bibler | Licensed Vocational Nurse | 1310 M St, Fresno, CA 93721-1808 | 2020-08-26 |
| 1598373649 | Ashley D Gallardo | Licensed Vocational Nurse | 1310 M St, Fresno, CA 93721-1808 | 2020-07-15 |
| 1487279816 | Ou Xiong | Licensed Vocational Nurse | 1310 M St, Fresno, CA 93721-1808 | 2020-06-11 |
| 1235775172 | Moises F Alvarez | Counselor | 1310 M St, Fresno, CA 93721-1808 | 2019-11-26 |
| 1407404924 | Yvette L Raven | Licensed Vocational Nurse | 1310 M St, Fresno, CA 93721-1808 | 2019-08-28 |
| 1982258604 | Fayette Larue Arnold | Counselor | 1310 M St, Fresno, CA 93721-1808 | 2019-07-31 |
| 1083266266 | Maria Guadalupe Rodriguez | Counselor | 1310 M St, Fresno, CA 93721-1808 | 2019-07-09 |
| 1689239055 | Pawandeep Kaur | Nurse Practitioner | 1310 M St, Fresno, CA 93721-1808 | 2019-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173835 | Cristina Palacios-gomez | Case Manager/Care Coordinator | 1834 E Lester Ave, Fresno, CA 93720-1963 | 2020-10-27 |
| 1588272876 | Avarita Shari Henry | Case Manager/Care Coordinator | 3710 Iris Ridge Way, Fresno, TX 77545-6040 | 2020-07-22 |
| 1780201954 | Sabrina Syvankham | Case Manager/Care Coordinator | 4789 E Kings Canyon Rd, Fresno, CA 93702-4069 | 2020-07-02 |
| 1487270658 | Choua Yang | Case Manager/Care Coordinator | 4861 E Kings Canyon Rd, Fresno, CA 93727-3811 | 2020-06-23 |
| 1801428834 | Alicia Danielle Sanchez | Case Manager/Care Coordinator | 7029 N Oratorio Dr, Fresno, CA 93711-0146 | 2020-02-07 |
| 1689136350 | Marissa Carrillo | Case Manager/Care Coordinator | 1797 E Dorothy St, Fresno, CA 93706-5430 | 2019-04-02 |
| 1902363609 | Ma Irene Sanchez Sanchez | Case Manager/Care Coordinator | 4411 E Kings Canyon Rd Ste 319, Fresno, CA 93702-3604 | 2019-02-28 |
| 1144790411 | Garfield Jermyuer Spencer | Case Manager/Care Coordinator | 3433 W Shaw Ave Ste 103, Fresno, CA 93711-3229 | 2018-11-29 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| Find all providers in FRESNO | ||||
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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.