MRS. AMY BETH SULLIVAN (NPI# 1770615585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770615585 |
Entity Type | Individual |
Full Name | MRS. AMY BETH SULLIVAN |
Credential | NP |
Practice Address |
3330 Ptarmigan Ln Helena MT 59602 |
Mailing Address |
Po Box 6369 Helena MT 59604-6369 |
Practice Telephone | 4064574180 |
Mailing Telephone | 4064472823 |
Mailing Fax Number | 4064472760 |
Enumeration Date | 2007-03-09 |
Last Update Date | 2018-07-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 22036 | MT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 4307823 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609057298 | Amy L Sullivan | Dietitian, Registered | 4905 Havana Dr, Pittsburgh, PA 15239-2401 | 2007-11-24 |
1922028166 | Amy E Sullivan | Obstetrics & Gynecology | University of Utah Hospital Clinics Dept of Ob/gyn, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2006-07-20 |
1275145369 | Amy Sullivan | Nurse Practitioner | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2020-08-19 |
1396389813 | Amy Sullivan | Speech-Language Pathologist | 811 Keylon St, Manchester, TN 37355-2413 | 2019-10-29 |
1063990380 | Amy Sullivan | Speech-Language Pathologist | 1326 Church St, Zachary, LA 70791-2743 | 2018-07-30 |
1801328596 | Amy Lynn Sullivan | Speech-Language Pathologist | 4050 Avon Rd, Geneseo, NY 14454-9721 | 2017-03-31 |
1124488796 | Amy E Sullivan | Physical Therapist | 41 Sanderson Road, Suite 101, Smithfield, RI 02917-2611 | 2016-02-25 |
1417328915 | Amy Sullivan | Counselor | 705 Washington St, Ravenswood, WV 26164-1729 | 2015-10-10 |
1053735639 | Amy Sullivan | Nurse Practitioner | 5830 Highway 5, Cabot, AR 72023-7328 | 2014-02-18 |
1124450721 | Amy Beth Sullivan | Case Manager/Care Coordinator | 1250 Kirts Blvd Ste 300, Troy, MI 48084-4855 | 2013-08-06 |
Street Address |
3330 PTARMIGAN LN |
City | HELENA |
State | MT |
Zip Code | 59602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962408146 | Inna Bordewick | Physician Assistant | 3330 Ptarmigan Ln, Helena, MT 59602-0521 | 2005-06-22 |
1356977821 | Jennifer Lambertson | Registered Nurse | 3330 Ptarmigan Ln, Helena, MT 59602-0521 | 2020-03-17 |
1982245056 | Brittany August Kizer | Social Worker | 3330 Ptarmigan Ln, Helena, MT 59602-0521 | 2019-09-30 |
1811543762 | Jenna Reitz | Family Medicine | 3330 Ptarmigan Ln, Helena, MT 59602-0521 | 2019-08-15 |
1073005443 | Zachary Lee Deffinbaugh | Nurse Practitioner | 3330 Ptarmigan Ln, Helena, MT 59602-0521 | 2018-06-01 |
1992246516 | Ruth Mollet | Nurse Practitioner | 3330 Ptarmigan Ln, Helena, MT 59602-0521 | 2017-03-15 |
1548659527 | Carissa Bergman | Nurse Practitioner | 3330 Ptarmigan Ln, Helena, MT 59602-0521 | 2015-01-14 |
1447663422 | Justin Clarence Perry | Family Medicine | 3330 Ptarmigan Ln, Helena, MT 59602-0521 | 2014-06-06 |
1144665795 | Emily Hedum | Family Medicine | 3330 Ptarmigan Ln, Helena, MT 59602-0521 | 2013-05-08 |
1306185475 | Kristina Pritchard | Social Worker | 3330 Ptarmigan Ln, Helena, MT 59602-0521 | 2013-02-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255819868 | Jacob Kreamer | Pharmacist | 3195 E Custer Ave, Helena, MT 59602 | 2018-08-06 |
1013364819 | Sierra Richmond | Physical Therapist | 3345 Colton Dr Ste A, Helena, MT 59602 | 2016-05-21 |
1932556065 | First Words Speech and Language Clinic | Speech-Language Pathologist | 3774 Juliet Drive, Helena, MT 59602 | 2016-05-18 |
1568837730 | Leigh Fahlquist, LLC | Community/Behavioral Health | 1159 Toucan Rd., Helena, MT 59602 | 2015-12-14 |
1467824912 | Coordicare Inc | Clinic/Center | 1223 Stetson Rd, Helena, MT 59602 | 2015-10-23 |
1659675197 | Jesse Miller Mumford Heidi | Social Worker | 3240 Dredge Dr., Helena, MT 59602 | 2010-12-24 |
1194988543 | Jonathan Spencer Griffin | Family Medicine | 1223 Stetson Rd., Helena, MT 59602 | 2008-07-07 |
1568688976 | Tammie R. Espenlaub | Nurse Practitioner | 2029 9th Ave, Suite 1, Helena, MT 59602 | 2007-04-17 |
1780704528 | Barbara Jean Bayer | Acupuncturist | 3404 Cooney Dr, Bldg #2, Helena, MT 59602 | 2007-03-29 |
1023134293 | Brian W Abbott | Neuromusculoskeletal Medicine & OMM | 3150 N Montana Ave Ste A, Helena, MT 59602 | 2007-03-21 |
Find all providers in zip 59602 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841801370 | Brittany Carnahan | Nurse Practitioner | 5635 Rainbow Dr, Helena, MT 59602-9574 | 2020-08-10 |
1245770957 | Brooklyn Greenwood | Nurse Practitioner | 321 Stonecreek Cir, Helena, AL 35080-8109 | 2017-02-28 |
1659741106 | Lauren Marie Mckay | Nurse Practitioner | 1011 Wilder Ave, Helena, MT 59601-2538 | 2015-09-28 |
1295029718 | Heather Noel Zufelt | Nurse Practitioner | 45 E 16th St, Helena, MT 59601-3438 | 2011-06-01 |
1790877793 | Megan Gittings | Nurse Practitioner | 50 S Last Chance Gulch, Suite 3, Helena, MT 59601-4130 | 2006-09-28 |
1700987880 | Elizabeth Ann Johnson | Nurse Practitioner | 1500 Cannon, Helena, MT 59601 | 2006-09-25 |
1659359792 | Dawn Gormely | Nurse Practitioner | 1930 9th Avenue, Helena, MT 59601 | 2006-01-09 |
1316924392 | Susan Kay Williams | Nurse Practitioner | 501 Euclid, Helena, MT 59601-2865 | 2005-12-29 |
1124642350 | Andeelyn Wardell | Nurse Practitioner | 2475 E Broadway St, Helena, MT 59601-4928 | 2020-06-03 |
1356981948 | Opulence Aesthetics & Primary Care LLC | Nurse Practitioner | 251 Saddle Dr, Helena, MT 59601-4920 | 2020-01-10 |
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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.