KATHLEEN LEA SULLIVAN (NPI# 1811204985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811204985 |
| Entity Type | Individual |
| Full Name | KATHLEEN LEA SULLIVAN |
| Credential | APRN |
| Practice Address |
134 Grandview Ave 208 Waterbury CT 06708-2507 |
| Practice Telephone | 2037553279 |
| Practice Fax Number | 2037553057 |
| Mailing Telephone | 2037553279 |
| Mailing Fax Number | 2037553057 |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2015-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4478 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
004478 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265890909 | Kathleen Sullivan | Clinical Nurse Specialist | 2040 9th Ave, # C, Honolulu, HI 96816-2952 | 2016-02-09 |
| 1871907006 | Kathleen E Sullivan | Behavioral Analyst | 118 35th St, Bellingham, WA 98225-6053 | 2014-06-16 |
| 1285057687 | Kathleen Sullivan | Registered Nurse | 2380 Timbercrest Cir W, Clearwater, FL 33763-1624 | 2014-01-22 |
| 1538436555 | Kathleen Sullivan | Speech-Language Pathologist | 301 Charlotte Ave, Hamburg, NY 14075-3857 | 2011-11-18 |
| 1396023388 | Kathleen T Sullivan | Occupational Therapist | 6678 County Road 32, Norwich, NY 13815-3554 | 2011-07-26 |
| 1912204322 | Kathleen Ann Sullivan | Speech-Language Pathologist | 3043 State Route 48, Oswego, NY 13126-5733 | 2011-02-21 |
| 1790938694 | Kathleen Scarlett Sullivan | Marriage & Family Therapist | 3851 Rosecrans St Ste K-08, San Diego, CA 92110-3115 | 2008-10-23 |
| 1639320336 | Kathleen Connelly Sullivan | Physician Assistant | 2 Fogg Rd, Weymouth, MA 02190 | 2008-10-01 |
| 1306095955 | Kathleen M. Sullivan | Nurse Practitioner | 20511 Sunset Ln, Lago Vista, TX 78645-6245 | 2008-09-18 |
| 1356518492 | Kathleen C Sullivan | Licensed Practical Nurse | 340 Vincent St., Syracuse, NY 13210-3712 | 2008-05-08 |
| Street Address |
134 GRANDVIEW AVE 208 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114928827 | Specialists In Women's Healthcare PC | Advanced Practice Midwife | 134 Grandview Ave, Ste 210, Waterbury, CT 06708-2507 | 2005-08-03 |
| 1245714567 | Barbara Rymer | Nurse Practitioner | 134 Grandview Ave, Waterbury, CT 06708-2507 | 2018-09-21 |
| 1407120751 | Vanessa Daou | Advanced Practice Midwife | 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 | 2012-03-05 |
| 1205144300 | Daniel P Baxter | Physician Assistant | 134 Grandview Ave, Suite 101, Waterbury, CT 06708-2507 | 2010-09-23 |
| 1114232832 | Theresa F Piliero | Nurse Practitioner | 134 Grandview Ave, Suite 202, Waterbury, CT 06708-2507 | 2010-08-18 |
| 1194956045 | Kristen D Graff Beardslee | Advanced Practice Midwife | 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 | 2009-07-27 |
| 1922245745 | Kelly Lynn Palmer | Occupational Therapist | 134 Grandview Ave, Waterbury, CT 06708-2507 | 2009-01-15 |
| 1548423973 | Jenna A Logiudice | Obstetrics & Gynecology | 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 | 2008-07-07 |
| 1285821603 | Cybill Shelby Thomas | Nurse Practitioner | 134 Grandview Ave, Waterbury, CT 06708-2507 | 2007-09-30 |
| 1497945315 | Claudia L Grogean | Obstetrics & Gynecology | 134 Grandview Ave, Suite 210, Waterbury, CT 06708-2507 | 2007-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559248 | Agape Family Medical Center LLC | Nurse Practitioner | 1078 W Main St Ste 3, Waterbury, CT 06708-2651 | 2020-08-21 |
| 1508375080 | Christina Audet Solomito | Nurse Practitioner | 133 Scovill St Ste 306, Waterbury, CT 06706-1127 | 2017-09-27 |
| 1558886671 | Macaela Cirish | Nurse Practitioner | 3801 East Main Street, Second Floor, Waterbury, CT 06705 | 2017-08-09 |
| 1609323070 | Laila Jones | Nurse Practitioner | 170 Grandview Ave Ste 1, Waterbury, CT 06708-2577 | 2016-09-02 |
| 1124484357 | Melanie M.f. Nesprido | Nurse Practitioner | 60 Westwood Ave Ste 100, Waterbury, CT 06708-2460 | 2016-01-04 |
| 1447651690 | Matthew L Balanda | Nurse Practitioner | 1389 W Main St Ste 205, Waterbury, CT 06708-3115 | 2014-09-08 |
| 1831523638 | Eileen Anne Knox | Nurse Practitioner | 1253 W Main St, Waterbury, CT 06702-1418 | 2013-08-28 |
| 1033414867 | Steven Paul Jeske | Nurse Practitioner | 276 Highland Ave Ste A2, Waterbury, CT 06708 | 2011-01-26 |
| 1982853263 | Leah Lucarelli | Nurse Practitioner | 80 Phoenix Ave Ste 101, Waterbury, CT 06702-1418 | 2008-09-11 |
| 1891836110 | Michelle Lynn Kennedy | Nurse Practitioner | 51 N Elm St, Waterbury, CT 06702-1511 | 2007-02-09 |
| Find all providers in WATERBURY | ||||
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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.