JENNA SULLIVAN (NPI# 1871901769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871901769 |
| Entity Type | Individual |
| Full Name | JENNA SULLIVAN |
| Credential | LAT, ATC |
| Practice Address |
8322 Bellona Ave St 100 Towson MD 21204 |
| Mailing Address |
33 Leatherwood Pl Apt E Rosedale MD 21237-3521 |
| Practice Telephone | 4108284876 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A0000155 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588106686 | Jenna Lynn Sullivan | Occupational Therapist | 1813 E 33rd St, Brooklyn, NY 11234-4425 | 2016-11-07 |
| 1548558257 | Jenna Sullivan | Physician Assistant | 327 Central Avenue Se, Minneapolis, MN 55414 | 2011-07-14 |
| 1568935088 | Jenna Sullivan | Student in an Organized Health Care Education/Training Program | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2019-01-08 |
| 1366936932 | Jenna Lelsey Sullivan | Optometrist | 1 Bank Ave, Kaukauna, WI 54130-2581 | 2018-06-18 |
| 1003223314 | Jenna Sullivan | Nurse Anesthetist, Certified Registered | 7500 Mercy Road, Omaha, NE 68124-2319 | 2014-07-18 |
| Street Address |
8322 BELLONA AVE ST 100 |
| City | TOWSON |
| State | MD |
| Zip Code | 21204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760466486 | Richard Michael Levin | Urology | 8322 Bellona Ave, Suite 202, Towson, MD 21204-2065 | 2005-12-06 |
| 1285234732 | Emily Jeanne Sing | Physical Therapist | 8322 Bellona Ave, Towson, MD 21204-2065 | 2020-10-26 |
| 1639645393 | University of Maryland St. Joseph Pain Specialists, LLC | Anesthesiology | 8322 Bellona Ave, Towson, MD 21204-2065 | 2018-10-22 |
| 1437656733 | Tyrone Turner | Specialist/Technologist | 8322 Bellona Ave, Towson, MD 21204-2065 | 2018-04-12 |
| 1912362336 | Tricia Geiger | Physician Assistant | 8322 Bellona Ave, Suite 100, Towson, MD 21204-2065 | 2015-12-30 |
| 1225414725 | Elizabeth Fioretti | Specialist/Technologist | 8322 Bellona Ave, Towson, MD 21204-2065 | 2015-08-06 |
| 1609260132 | Jessica Kallaugher | Nurse Practitioner | 8322 Bellona Ave, Suite 330, Towson, MD 21204-2065 | 2015-03-23 |
| 1942692173 | Mcinnes Palmer Orthodontics | Clinic/Center | 8322 Bellona Ave, 310, Towson, MD 21204-2065 | 2015-02-25 |
| 1144623604 | Brian Perez | Specialist/Technologist | 8322 Bellona Ave, Towson, MD 21204-2065 | 2014-09-29 |
| 1790186922 | Benjamin John Gardner | Physician Assistant | 8322 Bellona Ave, Suite 100, Towson, MD 21204-2065 | 2014-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440850 | Erin Frey | Specialist/Technologist | 430 Towson Way Unit 9234, Towson, MD 21252-1006 | 2020-03-01 |
| 1699309526 | Romi Nachman | Specialist/Technologist | 4 Aigburth Rd, Towson, MD 21286-1162 | 2020-02-29 |
| 1588120141 | Corey Curran | Specialist/Technologist | 7800 Yord Road, Towson, MD 21252-0001 | 2019-02-19 |
| 1174087332 | Cody Edward Davis | Specialist/Technologist | 8423 Greenway Rd, Towson, MD 21286-8706 | 2019-01-22 |
| 1689155541 | Caroline Siebens | Specialist/Technologist | 7801 York Rd Ste 241, Towson, MD 21204-7446 | 2018-08-28 |
| 1326534124 | Joshua Thomas Montemore | Specialist/Technologist | 501 Fairmount Ave Ste 302, Towson, MD 21286-5494 | 2018-07-03 |
| 1871096297 | Zachary E Nahmias | Specialist/Technologist | 8000 York Road, Towson, MD 21252 | 2018-03-12 |
| 1033630280 | Maria Alyssa Ford | Specialist/Technologist | Marshall Hall Suite 50 8000 York Rd, Towson, MD 21252-0001 | 2017-06-28 |
| 1780117531 | Ethan Salata | Specialist/Technologist | 2 Cuyler Ct, Towson, MD 21204-2412 | 2017-04-08 |
| 1629500103 | Kurrel Fabian | Specialist/Technologist | 8031 York Rd, C1, Towson, MD 21204-7021 | 2017-04-03 |
| Find all providers in TOWSON | ||||
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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.