JULIANNE SULLIVAN (NPI# 1740637669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740637669 |
| Entity Type | Individual |
| Full Name | JULIANNE SULLIVAN |
| Credential | FNP |
| Practice Address |
2 Essex Center Dr Peabody MA 01960-2902 |
| Mailing Address |
20 Glendale Rd Marblehead MA 01945-1805 |
| Practice Telephone | 9789270585 |
| Mailing Telephone | 7817895370 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN2284055 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2284055 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2 ESSEX CENTER DR |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596054 | Barbara E. Dinenno | Physical Therapist | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2005-08-24 |
| 1013515048 | Meaghan Clarke | Physical Therapist | 2 Essex Center Dr, Peabody, MA 01960-2926 | 2020-10-12 |
| 1902385008 | Darina Carcerano | Nurse Practitioner | 2 Essex Center Dr, Peabody, MA 01960 | 2018-08-09 |
| 1457859969 | Michelle Kristen Ambler | Social Worker | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2018-01-30 |
| 1679023873 | Barry C Jones | Pharmacist | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2016-10-11 |
| 1194194951 | Tena Maria Rallis | Dermatology | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2015-09-22 |
| 1790102291 | Timothy Karthas | Podiatrist | 2 Essex Center Dr, Peabody, MA 01960-2926 | 2014-03-21 |
| 1265778294 | Svetlana M Moheydeen | Special Hospital | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2012-12-19 |
| 1295093045 | Andrea R Morris | Optometrist | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2012-04-30 |
| 1255646998 | Deborah A Dynan | Physical Therapist | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2010-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487293767 | Victoria Pena | Nurse Practitioner | 14 Charlotte St, Peabody, MA 01960-6014 | 2020-01-03 |
| 1316403272 | Samantha Dibella | Nurse Practitioner | 59 Garden Rd Apt E, Peabody, MA 01960-3198 | 2019-02-15 |
| 1083873244 | Susan R. Brown-zimmerman | Nurse Practitioner | Zero Centenial Drive, Cab Health and Recovery, Peabody, MA 01960 | 2008-06-03 |
| 1902355506 | Hayley Ann Nichols | Nurse Practitioner | 1 Roosevelt Ave, Suite # 201, Peabody, MA 01960-2200 | 2016-09-25 |
| 1710354121 | Melissa Elisabeth Gagne | Nurse Practitioner | 10 Centennial Dr, Peabody, MA 01960-7938 | 2015-09-01 |
| 1720324205 | Susan A Hennessey | Nurse Practitioner | 4 Centennial Dr, Suite 204, Peabody, MA 01960-7935 | 2013-01-02 |
| 1235489121 | Kristen Ann Upham | Nurse Practitioner | 2 1st Ave, Suite 215, Peabody, MA 01960 | 2012-09-18 |
| 1215229620 | Sarah Robertson | Nurse Practitioner | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2011-05-04 |
| 1528392990 | Carolyn Natalie Mancini | Nurse Practitioner | 1 Roosevelt Ave, Suite 201, Peabody, MA 01960-2200 | 2009-10-01 |
| 1669669966 | Jane Griffin Sammarco | Nurse Practitioner | 10 Centennial Dr, Peabody, MA 01960-7938 | 2007-10-01 |
| Find all providers in PEABODY | ||||
Please comment or provide details below to improve the information on JULIANNE 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.