MICHAEL SULLIVAN (NPI# 1740650167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740650167 |
| Entity Type | Individual |
| Full Name | MICHAEL SULLIVAN |
| Credential | PMHNP-BC |
| Practice Address |
517 W Grace St Richmond VA 23220-4911 |
| Practice Telephone | 8047832505 |
| Mailing Telephone | 8047832505 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024172854 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366918617 | Michael David Sullivan | Social Worker | 403 1/2 Hector St, Ithaca, NY 14850-2025 | 2018-10-15 |
| 1376923292 | Michael Sullivan | Student in an Organized Health Care Education/Training Program | Walter Reed 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2015-06-05 |
| 1881074896 | Michael Gregory Sullivan | Intermediate Care Facility, Mentally Retarded | 30 Hobomack Rd, Quincy, MA 02169-2508 | 2015-06-04 |
| 1104215136 | Michael Sullivan | Perfusionist | 137 Founders Way Ct, Cape Girardeau, MO 63701-9442 | 2015-01-14 |
| 1689927915 | Michael Robert Sullivan | Pharmacist | 41 Buena Vista St, Stamford, CT 06907-2402 | 2012-10-24 |
| 1154672038 | Michael James Sullivan | Dentist | 1882 Hard Rd, Columbus, OH 43235-1996 | 2012-10-02 |
| 1063791747 | Michael Gruer Sullivan | Counselor | 2024 N. Crystal Lake Dr., Suite 200 Room 205, Lakeland, FL 33801-6015 | 2011-08-11 |
| 1457647083 | Michael Patrick Sullivan | Dentist | 1008 G Sreet, Geneva, NE 68361 | 2011-06-22 |
| 1841528585 | Michael Andrew Sullivan | Counselor | 974 73rd St Ste 9, Windsor Heights, IA 50324-1026 | 2009-11-18 |
| 1508191388 | Michael Joseph Sullivan | Audiologist | 6644 Penn Ave S, Richfield, MN 55423-2026 | 2009-10-12 |
| Street Address |
517 W GRACE ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23220-4911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568459675 | Robin L Howell | Nurse Practitioner | 517 W Grace St, Richmond, VA 23220-4911 | 2005-10-04 |
| 1780296103 | Susanna Frances Pent | Nurse Practitioner | 517 W Grace St, Richmond, VA 23220-4911 | 2020-08-18 |
| 1992313837 | Bronte Maria Perez | Nurse Practitioner | 517 W Grace St, Richmond, VA 23220-4911 | 2020-07-16 |
| 1629555883 | Krystal Mattox | Dentist | 517 W Grace St, Richmond, VA 23220 | 2018-07-20 |
| 1225514698 | Cara Elizabeth Campbell | Family Medicine | 517 W Grace St, Richmond, VA 23220-4911 | 2018-07-18 |
| 1184165052 | Benjamin Morgan Wood | Counselor | 517 W Grace St, Richmond, VA 23220-4911 | 2017-03-13 |
| 1649717299 | Amy Schad | Social Worker | 517 W Grace St, Richmond, VA 23220-4911 | 2017-01-20 |
| 1144770827 | Katelyn Heck | Social Worker | 517 W Grace St, Richmond, VA 23220-4911 | 2016-10-06 |
| 1003365263 | Molly Jean Seay | Nurse Practitioner | 517 W Grace St, Richmond, VA 23220-4911 | 2016-09-29 |
| 1275928962 | Emily Tetalman | Social Worker | 517 W Grace St, Richmond, VA 23220-4911 | 2015-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538637855 | Lindsay Kruger | Health Educator | 2 W Franklin Street, Richmond, VA 23220 | 2018-11-05 |
| 1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
| 1699266312 | Madhura Vikas Chitnavis | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Radiology, 980615, 1250 E Marshall St, Richmond, VA 23220 | 2018-05-29 |
| 1457842759 | Alfred Vann II | Social Worker | 119 W. Leigh St., Richmond, VA 23220 | 2018-05-22 |
| 1598269193 | Lilah Sol | Health Educator | Ymca, 2 W Franklin St., Richmond, VA 23220 | 2018-03-20 |
| 1568965531 | Anne Danforth | Health Educator | 2 West Franklin Street, Downtown Ymca, Richmond, VA 23220 | 2018-03-15 |
| 1154840791 | Constant Change Enterprises LLC | Counselor | 1805 Monument Avenue, Suite 208, Richmond, VA 23220 | 2017-09-14 |
| 1023534393 | Diane H Brown | Social Worker | 2106 Rosewood Avenue, Richmond, VA 23220 | 2017-08-18 |
| 1831624295 | Trent Roubleau | Student in an Organized Health Care Education/Training Program | 2114 Maplewood Ave, Richmond, VA 23220 | 2017-04-24 |
| 1679013312 | Blair Fine | Social Worker | 2117 West Main Street, Richmond, VA 23220 | 2017-02-28 |
| Find all providers in zip 23220 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
| 1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
| 1972116127 | Margaret Nma Iroanya | Nurse Practitioner | 11102 Croftmore Dr, Richmond, TX 77407-2911 | 2020-08-27 |
| 1235749714 | Germaine Kelley-pope | Nurse Practitioner | 622 Westover Hills Blvd, Richmond, VA 23225-4521 | 2020-08-09 |
| 1760091979 | Peters Ako Etchu | Nurse Practitioner | 19726 Shallow Shaft Ln, Richmond, TX 77407-4100 | 2020-07-24 |
| 1649897174 | Elizabeth Nnenna Emeri | Nurse Practitioner | 1601 Main St Ste 600, Richmond, TX 77469-3244 | 2020-06-30 |
| 1083238083 | Kainer Behavioral Health Pllc | Nurse Practitioner | 23622 Fairport Harbor Ln, Richmond, TX 77407-2888 | 2020-06-04 |
| 1245853498 | Jennifer Lynn Whittington | Nurse Practitioner | 789 Eastern Bypass Medical Office 1, Suite 23, Richmond, KY 40475-4047 | 2020-05-22 |
| 1699308858 | Raymond C Obiajulu | Nurse Practitioner | 1911 William Lusk Rd, Richmond, TX 77469-4741 | 2020-02-17 |
| 1730719014 | Furo Uba Fabunmi | Nurse Practitioner | 1219 Orange Pumpkin Ln, Richmond, TX 77406-1771 | 2020-01-25 |
| Find all providers in RICHMOND | ||||
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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.