LILLIAN MARIE SULLIVAN (NPI# 1831612159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831612159 |
| Entity Type | Individual |
| Full Name | LILLIAN MARIE SULLIVAN |
| Credential | LMT |
| Practice Address |
3801 Lake Otis Pkwy Ste 300 Anchorage AK 99508 |
| Mailing Address |
3801 Lake Otis Pkwy Ste 300 Anchorage AK 99508-5234 |
| Practice Telephone | 9075622277 |
| Practice Fax Number | 9075633460 |
| Mailing Telephone | 9075622277 |
| Mailing Fax Number | 9075633460 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 121825 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12570 Old Seward Hwy Ste 101, Anchorage, AK 995153532 | 9073333535 | 9073333530 |
| Street Address |
3801 LAKE OTIS PKWY STE 300 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871529990 | Orthoalaska, LLC | Internal Medicine | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2006-06-23 |
| 1467013771 | Daniel Ouellette | Physical Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2019-06-26 |
| 1710546874 | Sarah Caroline King | Massage Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2019-06-11 |
| 1730651514 | Peter Marbarger Jr. | Physician Assistant | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2018-12-18 |
| 1972070142 | Mari Carol Fugere | Occupational Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2018-10-25 |
| 1225570864 | Elizabeth Seidl | Physical Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508 | 2016-11-14 |
| 1255889432 | Christina Waters | Physician Assistant | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2016-09-15 |
| 1508219205 | Mark Kasprowicz | Physical Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2016-07-18 |
| 1942652722 | Kevin Knight | Occupational Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2016-07-06 |
| 1386099372 | Michelle Patton | Massage Therapist | 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 | 2016-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
| 1346853322 | Phillip Zimmerly | Massage Therapist | 2120 E 73rd Ave Apt 1, Anchorage, AK 99507-2790 | 2020-08-28 |
| 1295344513 | Caroleen Theresa Monnseratt | Massage Therapist | 6511 E 8th Ave Apt 2, Anchorage, AK 99504-1779 | 2020-07-23 |
| 1174131726 | Chantel Mcvee | Massage Therapist | 1601 Baylor Way, Anchorage, AK 99508-4403 | 2020-07-20 |
| 1740807122 | Barbara Ellen Bennett | Massage Therapist | 3333 Denali St Ste 150, Anchorage, AK 99503-4046 | 2020-07-01 |
| 1407472566 | Khrista Fortune | Massage Therapist | 3060 Brookview St, Anchorage, AK 99504-4185 | 2020-06-24 |
| 1144855065 | Rachel Reese | Massage Therapist | 7021 Miranda Dr, Anchorage, AK 99507-5105 | 2020-03-11 |
| 1659906626 | Kylie Elizabeth Coston | Massage Therapist | 3149 Cassius Ct, Anchorage, AK 99508-3333 | 2020-03-10 |
| 1851926893 | Matthew Ellison Beardsley | Massage Therapist | 3210 Denali Street, Suite 1, Anchorage, AK 99503-4041 | 2020-03-10 |
| Find all providers in ANCHORAGE | ||||
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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.