MS. KIMBERLY DENISE SULLIVAN (NPI# 1770961005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770961005 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY DENISE SULLIVAN |
| Credential | R.N. |
| Practice Address |
11960 Westline Industrial Dr Suite 201 Saint Louis MO 63146-3209 |
| Practice Telephone | 3148190480 |
| Practice Fax Number | 1877475744 |
| Mailing Telephone | 3148190480 |
| Mailing Fax Number | 1877475744 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 2011006474 | MO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585763 | Kimberly Sullivan | Community/Behavioral Health | 5025 Hadley Meadow Ct, Las Vegas, NV 89131-5211 | 2019-12-17 |
| 1467976225 | Kimberly Ann Sullivan | Registered Nurse | 5517 Wichita Ave, Cleveland, OH 44144-3650 | 2017-08-02 |
| 1578977674 | Kimberly Sullivan | Occupational Therapist | 10148 Marshall Pond Rd, Burke, VA 22015-3730 | 2014-06-17 |
| 1871896142 | Kimberly Sullivan | Massage Therapist | 7860 Gate Pkwy Ste 105, Jacksonville, FL 32256-7280 | 2010-12-08 |
| 1225275746 | Kimberly Ann Sullivan | Marriage & Family Therapist | 9008 Elk Grove Blvd # 20, Elk Grove, CA 95624 | 2009-01-21 |
| 1336626159 | Kimberly Jarman Sullivan | Pharmacist | 403 Western Blvd, Jacksonville, NC 28546-6399 | 2018-07-24 |
| 1497244511 | Kimberly Paige Sullivan | Social Worker | 445 Winn Way, Decatur, GA 30030-1707 | 2018-05-03 |
| 1417468893 | Kimberly Marie Sullivan | Counselor | 560 Cohasset Rd Ste 180, Chico, CA 95926-2460 | 2017-10-12 |
| 1174070510 | Kimberly Ann Sullivan | Social Worker | 45 Wadsworth St, Hartford, CT 06106-7108 | 2016-09-01 |
| 1720462906 | Kimberly Afua Sullivan | Pharmacist | 7535 W Broadway Ave, Brooklyn Park, MN 55428-1287 | 2015-07-16 |
| Street Address |
11960 WESTLINE INDUSTRIAL DR SUITE 201 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63146-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134251390 | Marilyn Jeanne Kastner Painter | Speech-Language Pathologist | 11960 Westline Industrial Dr, Suite 201, Saint Louis, MO 63146-3209 | 2007-03-12 |
| 1942831235 | Dorothy Davis | Occupational Therapy Assistant | 11960 Westline Industrial Dr, Saint Louis, MO 63146-3228 | 2020-01-27 |
| 1972153344 | Gabrielle Marie Mack | Occupational Therapist | 11960 Westline Industrial Dr, Saint Louis, MO 63146-3228 | 2019-09-17 |
| 1629632112 | Alicia Nel | Occupational Therapist | 11960 Westline Industrial Dr, Saint Louis, MO 63146-3228 | 2019-04-30 |
| 1659834570 | Nabrina Marie Shanks | Health Educator | 11960 Westline Industrial Dr, Saint Louis, MO 63146-3228 | 2019-04-08 |
| 1275097057 | Kimberly Dawn Ballman | Psychologist | 11960 Westline Industrial Dr, Saint Louis, MO 63146-3228 | 2019-01-25 |
| 1366910184 | Marisa Bryan | Occupational Therapist | 11960 Westline Industrial Dr, Saint Louis, MO 63146-3228 | 2018-11-09 |
| 1407330293 | Bryan Ho | Speech-Language Pathologist | 11960 Westline Industrial Dr, #201, Saint Louis, MO 63146 | 2018-09-18 |
| 1871079178 | Rebecca Medwin | Speech-Language Pathologist | 11960 Westline Industrial Dr, Saint Louis, MO 63146-3228 | 2018-07-19 |
| 1689150450 | Blair Leslie Dejean Armstrong | Specialist/Technologist | 11960 Westline Industrial Dr, Saint Louis, MO 63146-3228 | 2018-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553118 | Chelsea Ann Garbs | Nurse Practitioner | 1249 Woodland Point Dr Unit E, St. Louis, MO 63146 | 2020-09-17 |
| 1538790647 | Supreme Quality Care LLC | Home Health | 111 West Port Plaza, Floor 6, Maryland Heights, MO 63146 | 2020-01-28 |
| 1942854492 | Winning Hands Home Health Care Services LLC | In Home Supportive Care | 12738 Fee Fee Rd, Saint Louis, MO 63146 | 2019-08-01 |
| 1144883893 | Tylians T Smith | Physical Therapy Assistant | 12544 Fee Fee Rd, Saint Louis, MO 63146 | 2019-04-18 |
| 1528533049 | Veterans Home Care, LLC | Durable Medical Equipment & Medical Supplies | 11861 Westline Industrial Drive, Suite 750, St. Louis, MO 63146 | 2018-10-11 |
| 1417433558 | Alexandria Marie Falck | Pharmacist | 577 Mid Rivers Mall Drive, Saint Louis, MO 63146 | 2018-07-12 |
| 1043702897 | Equal Shares Parenting, LLC | Marriage & Family Therapist | 10313 Corbeil Dr., Unit D, St. Louis, MO 63146 | 2018-06-06 |
| 1588189930 | Anita Shawke | Physical Therapist | 11960 Westline Industrial Drive, Suite 201, St. Louis, MO 63146 | 2017-08-07 |
| 1174047005 | Midwest Spine & Injury Centers, Inc. | Chiropractor | 2108 Schuetz Road, Maryland Heights, MO 63146 | 2017-08-02 |
| 1447700604 | Compassus Op of Missouri LLC | Hospice Care, Community Based | 11872 Westline Industrial Dr Ste 160, Saint Louis, MO 63146 | 2016-10-11 |
| Find all providers in zip 63146 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760091623 | Kimberly Marie Besancenez | Registered Nurse | 777 S New Ballas Rd Ste 200e, Saint Louis, MO 63141-8718 | 2020-07-27 |
| 1093332215 | Ashley Letterman | Registered Nurse | 3668 S Geyer Rd # A, Saint Louis, MO 63127-1249 | 2020-07-03 |
| 1790301232 | Megan Farley | Registered Nurse | 4921 Parkview Pl Ste 6b, Saint Louis, MO 63110-1032 | 2020-06-20 |
| 1841815529 | Marla Simmons | Registered Nurse | 516 Kingdel Dr, Saint Louis, MO 63124-1976 | 2020-06-09 |
| 1467076414 | Julie Crawford | Registered Nurse | 7918 Martys Dr, Saint Louis, MO 63123-1548 | 2020-06-05 |
| 1366905440 | Rachael Otto | Registered Nurse | 118 Euclid St, Saint Louis, MI 48880-1901 | 2019-04-07 |
| 1902363997 | Denisha Nicole Morgan | Registered Nurse | 4973 Oleatha Ave, Saint Louis, MO 63139-1224 | 2019-02-26 |
| 1295200491 | Laura Baldridge | Registered Nurse | 10586 Sunset Pines Ct, Saint Louis, MO 63128-1254 | 2018-10-04 |
| 1811496003 | Aryn Kathleen Whiting | Registered Nurse | 3660 Vista Ave Ste 207208, Saint Louis, MO 63110-2540 | 2018-02-02 |
| 1003323288 | Elizabeth Burton Walden | Registered Nurse | 3660 Vista Ave Ste 207, Saint Louis, MO 63110-2540 | 2018-01-09 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63146 |
Please comment or provide details below to improve the information on MS. KIMBERLY DENISE 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.