STEPHANIE E SULLIVAN (NPI# 1861968356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861968356 |
Entity Type | Individual |
Full Name | STEPHANIE E SULLIVAN |
Credential | LMT |
Practice Address |
1301 Herr Ln Louisville KY 40222-4388 |
Mailing Address |
9909 Whipps Mill Rd Louisville KY 40223-1107 |
Practice Telephone | 5022408804 |
Mailing Telephone | 5022408804 |
Enumeration Date | 2018-10-23 |
Last Update Date | 2018-10-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | KY-4996 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255828307 | Stephanie Marie Sullivan | Marriage & Family Therapist | 415 S Main St Ste E, Rochester, MI 48307-2077 | 2018-04-15 |
1568901544 | Stephanie Ann Sullivan | Nurse Anesthetist, Certified Registered | Unity Point Health Methodist, 221 Ne Glen Oak Avenue, Peoria, IL 61636-0001 | 2017-02-23 |
1740608017 | Stephanie Sullivan | Speech-Language Pathologist | 3950 Sw 16th St, Okeechobee, FL 34974 | 2014-04-02 |
1619150158 | Stephanie Sue Sullivan | Licensed Practical Nurse | 5773 Golden Eagle Cir, Palm Beach Gardens, FL 33418-1518 | 2007-12-06 |
1063038115 | Stephanie N Sullivan | Dietitian, Registered | 100 Medical Center Way, Somers Point, NJ 08244-2300 | 2020-06-24 |
1871063396 | Stephanie Ashleigh Sullivan | Behavior Technician | 301 S Tubb St Ste A1, Oakland, FL 34760-8859 | 2018-11-27 |
1750801924 | Stephanie Leigh Sullivan | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2017-06-20 |
1750779989 | Stephanie Sullivan | Community/Behavioral Health | 145 Maple Ave, Red Bank, NJ 07701-1717 | 2014-12-22 |
1679987796 | Stephanie Sullivan | Speech-Language Pathologist | 501 Valley View Blvd, Altoona, PA 16602-6410 | 2014-06-17 |
1073952396 | Stephanie Sullivan | Emergency Medicine | 1304 Franklin Ave, Normal, IL 61761-3558 | 2013-06-19 |
Street Address |
1301 HERR LN |
City | LOUISVILLE |
State | KY |
Zip Code | 40222-4388 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629392477 | Meridian Lines, LLC | Massage Therapist | 1301 Herr Ln, Louisville, KY 40222-4377 | 2010-03-23 |
1063042364 | Allisyn Barnett | Massage Therapist | 1301 Herr Ln, Louisville, KY 40222-4388 | 2020-01-25 |
1952876435 | Bridget Mckinney Klein | Massage Therapist | 1301 Herr Ln, Louisville, KY 40222-4388 | 2018-10-10 |
1053850016 | Megan Osborn | Massage Therapist | 1301 Herr Ln, Louisville, KY 40222-4388 | 2017-02-22 |
1184162380 | Jennifer Bowman | Massage Therapist | 1301 Herr Ln, Louisville, KY 40222-4388 | 2017-02-08 |
1306384581 | Jessica Polley | Massage Therapist | 1301 Herr Ln, Louisville, KY 40222-4388 | 2017-02-07 |
1477908895 | Aaron Boyer | Massage Therapist | 1301 Herr Ln, Louisville, KY 40222-4388 | 2016-05-04 |
1154709038 | Maria Green | Massage Therapist | 1301 Herr Ln, Louisville, KY 40222-4388 | 2015-05-12 |
1205230513 | Abby Reed | Massage Therapist | 1301 Herr Ln, Louisville, KY 40222-4388 | 2014-10-15 |
1740680313 | Corey Frary | Massage Therapist | 1301 Herr Ln, Louisville, KY 40222-4388 | 2014-09-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
1700424157 | Hope4hearts Counseling LLC | Community/Behavioral Health | 7321 New Lagrange Road, Louisville, KY 40222 | 2019-12-17 |
1982162509 | Sydney Sleadd | Massage Therapist | 7505 New Lagrange Rd, Ste 101, Louisville, KY 40222 | 2019-03-04 |
1205390127 | Rebecca A Street | Marriage & Family Therapist | 8134 New La Grange Rd Ste 227, Louisville, KY 40222 | 2019-01-24 |
1689176166 | Andrew Pennington | Social Worker | 1015 Dorsey Ln., Louisville, KY 40222 | 2018-03-01 |
1578085957 | Megan Lusco | Case Manager/Care Coordinator | 312 Whittington Parkway, Suite 020, Louisville, KY 40222 | 2017-07-07 |
1083149868 | Kate Oliver Ray | Optometrist | 2420 Lime Kiln Ln Ste H, Louisville, KY 40222 | 2017-04-28 |
1578094736 | Jacqueline Ward | Speech-Language Pathologist | 910 Fenley Avenue, Louisville, KY 40222 | 2017-03-21 |
1295195907 | Carol Massey | Psychologist | 7400 Newlagrange Roed, 308, Louisville, KY 40222 | 2016-02-24 |
1588047260 | Melissa Cosby | Case Manager/Care Coordinator | 312 Whittington Parkway Suite 020, Louisville, KY 40222 | 2015-06-30 |
Find all providers in zip 40222 |
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 |
---|---|---|---|---|
1093312589 | Jorden E. Duvall | Massage Therapist | 703 W Ashland Ave, Louisville, KY 40215-2403 | 2020-10-07 |
1538766787 | Talina Rene Loren | Massage Therapist | 1340 S 3rd St Apt 217, Louisville, KY 40208-2332 | 2020-10-01 |
1114532579 | Megan Trodglen | Massage Therapist | 3607 Ethelwood Dr, Louisville, KY 40299-3339 | 2020-09-12 |
1477166783 | Victoria Newman | Massage Therapist | 543 N 44th St, Louisville, KY 40212-2710 | 2020-08-26 |
1013529858 | Amber Nicole Squires | Massage Therapist | 2044 Midland Ave Apt 2, Louisville, KY 40204-2287 | 2020-08-22 |
1710599865 | Jessica D Boyd | Massage Therapist | 10102 Summit Park Pl Apt 201, Louisville, KY 40241-3833 | 2020-08-20 |
1124630363 | Karli Shae Neutz | Massage Therapist | 1860 Mellwood Ave Ste 179, Louisville, KY 40206-1033 | 2020-08-19 |
1093332330 | Elizabeth Heustis | Massage Therapist | 1012 Bluegrass Ave, Louisville, KY 40215-2314 | 2020-07-02 |
1396371860 | Marcella Alice Thompson | Massage Therapist | 5516 Overbrook Woods Pl Apt 103, Louisville, KY 40291-5436 | 2020-03-17 |
1154951432 | Suwannee Norwood | Massage Therapist | 3608 Springhurst Blvd, Louisville, KY 40241-4142 | 2020-01-24 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40222 |
Please comment or provide details below to improve the information on STEPHANIE E 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.