MR. JOSEPH ANDREW SULLIVAN (NPI# 1881909836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881909836 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH ANDREW SULLIVAN |
| Credential | B.S |
| Practice Address |
1500 Ne Irving St Portland OR 97232-2243 |
| Mailing Address |
12042 Se Regal Ct Clackamas OR 97015-9245 |
| Practice Telephone | 5032584200 |
| Enumeration Date | 2010-08-15 |
| Last Update Date | 2010-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104107903 | Joseph Vincent Sullivan | Dentist | 9221 Sandifur Pkwy, Suite B, Pasco, WA 99301-9241 | 2011-09-07 |
| 1427296375 | Joseph M. Sullivan | Podiatrist | 2144 Capewood Dr, Huddleston, VA 24104-3430 | 2009-01-30 |
| 1578642138 | Joseph C Sullivan IIi | Chiropractor | 17 Leonard St, Smithtown, NY 11787-1015 | 2006-11-03 |
| 1063526325 | Joseph David Sullivan | Counselor | 1701 Centerview Dr Ste 102, Little Rock, AR 72211-4311 | 2006-08-17 |
| 1982691689 | Joseph Wynn Sullivan | Internal Medicine | 600 Zeagler Dr, Palatka, FL 32177-3811 | 2005-09-29 |
| 1518953710 | Joseph Brian Sullivan | Internal Medicine | 620 Washington St, Suite A, Franklin, MA 02038-3300 | 2005-09-22 |
| 1255326690 | Joseph B. Sullivan | Optometrist | 8118 E Douglas Ave, Suite 107, Wichita, KS 67206-2364 | 2005-09-13 |
| 1336682418 | Joseph Sullivan | Chiropractor | 10160 W 50th Ave, Ste 4, Wheat Ridge, CO 80033-2339 | 2016-11-22 |
| 1437497856 | Joseph Sullivan | Rehabilitation Counselor | 895 Roberta Ln, Suite 101, Sparks, NV 89431-6802 | 2013-01-18 |
| 1295022903 | Joseph Sullivan | Surgery | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2011-07-01 |
| Street Address |
1500 NE IRVING ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952451841 | Andrew Todd Mcwilliams | Counselor | 1500 Ne Irving St, 250, Portland, OR 97232-2243 | 2007-01-11 |
| 1609230168 | Anita Loving | Peer Specialist | 1500 Ne Irving St, 250, Portland, OR 97232-2243 | 2016-04-11 |
| 1518207661 | Robert Christopher Goble | Social Worker | 1500 Ne Irving St, Suite 200, Portland, OR 97232-2243 | 2013-02-27 |
| 1083954218 | Martha M Robers | Social Worker | 1500 Ne Irving St, Suite 200, Portland, OR 97232-2243 | 2013-02-25 |
| 1902155583 | Keysha Rae Kendall | Student in an Organized Health Care Education/Training Program | 1500 Ne Irving St, Suite 250, Portland, OR 97232 | 2012-08-29 |
| 1346527694 | Kristin Warden Doherty | Social Worker | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2011-11-14 |
| 1922385095 | Laura C Berger | Social Worker | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2011-11-03 |
| 1164705257 | Kelsey Stone | Case Manager/Care Coordinator | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2011-09-24 |
| 1316220916 | Grace Huang | Counselor | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2011-09-21 |
| 1285916270 | Elizabeth Brown | Student in an Organized Health Care Education/Training Program | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2011-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775558 | John Alan Varner | Case Manager/Care Coordinator | 5833 N Lombard St, Portland, OR 97203-4115 | 2020-06-24 |
| 1750906228 | Dwell Care LLC. | Case Manager/Care Coordinator | 1720 Nw Lovejoy St Ste 202, Portland, OR 97209-2341 | 2020-06-10 |
| 1871138453 | Kedrick Starr | Case Manager/Care Coordinator | 14600 Nw Cornell Rd., Portland, OR 97229 | 2019-11-07 |
| 1477102077 | Joslyn Bailey Gheen | Case Manager/Care Coordinator | 1032 Sw Main St, Portland, OR 97205-2407 | 2019-09-05 |
| 1497311773 | Ali Tareq Ashour | Case Manager/Care Coordinator | 980 Forest Ave Ste 106, Portland, ME 04103-3357 | 2019-05-13 |
| 1427540202 | Amber Tracy Ware | Case Manager/Care Coordinator | 30 Ne Martin Luther King Jr Blvd, Portland, OR 97232-2941 | 2018-06-06 |
| 1710479209 | Katherine Anne Kerr | Case Manager/Care Coordinator | 4307 Ne 102nd Ave, Portland, OR 97220-3439 | 2018-05-31 |
| 1194230664 | Ankita Guchait | Case Manager/Care Coordinator | 14600 Nw Cornell Rd, Portland, OR 97229 | 2017-12-06 |
| 1083137459 | David Sague | Case Manager/Care Coordinator | 7820 Ne Holman St Ste B5, Portland, OR 97218-2841 | 2017-07-18 |
| 1538601885 | Gabriela Simone Sargent | Case Manager/Care Coordinator | 4109 Se 113th Ave, Portland, OR 97266-2226 | 2016-11-16 |
| Find all providers in PORTLAND | ||||
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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.