KIM LEANN SULLIVAN (NPI# 1891957759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891957759 |
| Entity Type | Individual |
| Full Name | KIM LEANN SULLIVAN |
| Credential | RDH |
| Practice Address |
1100 N College Ave Fayetteville AR 72703-1944 |
| Practice Telephone | 4794434301 |
| Mailing Telephone | 4794434301 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 0752 | AR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831609809 | Kim Sullivan | Counselor | 10a Chisholm Trl, Round Rock, TX 78681 | 2017-10-04 |
| 1679766174 | Kim Sullivan | Registered Nurse | 1022 Florida Ave S, Suite 6, Rockledge, FL 32955-2145 | 2007-08-20 |
| 1346347465 | Kim A Sullivan | Counselor | 640 Walnut St, Reading, PA 19601-3504 | 2006-09-20 |
| Street Address |
1100 N COLLEGE AVE |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-1944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265435697 | Randall B Davis | Specialist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2005-05-31 |
| 1548870462 | Anna Parker | Pharmacist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-08-05 |
| 1912522095 | Shan M Khan | Dentist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-06-14 |
| 1760003495 | Andrea G. Burnett | Respiratory Therapist, Registered | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-05-05 |
| 1396366092 | Robin Elizabeth Bush | Respiratory Therapist, Registered | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-05-04 |
| 1295356186 | Brock Helfrich | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1999 | 2020-05-01 |
| 1285255661 | Curtis Deon Burnley Jr. | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-27 |
| 1871113878 | Katherine Lynn Horn | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-20 |
| 1649890930 | William Colton Cheek | Optometrist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-04-16 |
| 1487285995 | Kristen Schatzman | Social Worker | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2020-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184276248 | Chandra Heintzeman | Dental Hygienist | 3049 N Kilchattan Dr, Fayetteville, NC 28306-4653 | 2019-07-09 |
| 1114488319 | Kimberly Pearson | Dental Hygienist | 2313 Murchison Rd, Fayetteville, NC 28301-3517 | 2019-03-29 |
| 1457649766 | Brittany Brooks | Dental Hygienist | 2029 Valleygate Dr, Fayetteville, NC 28304-3771 | 2011-07-20 |
| 1831352905 | Casey Harriman | Dental Hygienist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2008-07-08 |
| 1689836710 | Nelda R Allen | Dental Hygienist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2008-06-30 |
| 1417090077 | Katherine Pate Pugh | Dental Hygienist | 2300 Ramsey St, Dental Service (160), Fayetteville, NC 28301-3856 | 2007-02-14 |
| 1154488229 | Helen Marian Frasciello | Dental Hygienist | 7085 E Genesee St, Fayetteville, NY 13066-1146 | 2007-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760009682 | Suguey Martinez | Dental Hygienist | 104 W Locke Ave, De Queen, AR 71832-2380 | 2020-06-26 |
| 1447653431 | Stacey Fletcher | Dental Hygienist | 908 W Laura St, Rogers, AR 72758-6509 | 2014-10-03 |
| 1689912644 | Kathryn Dowell | Dental Hygienist | 12921 Cantrell Rd Ste 101, Little Rock, AR 72223-1798 | 2013-01-27 |
| 1093941627 | Jane Miranda Miles | Dental Hygienist | 312 Short Street, Benton, AR 72015 | 2009-06-10 |
| 1265643720 | Carol R. Dennis | Dental Hygienist | 3518 Lacrosse, Bryant, AR 72022-9314 | 2007-05-25 |
| 1013928381 | Audra M Hamilton | Dental Hygienist | 623 N 9th Street, Augusta, AR 72006 | 2006-08-11 |
| 1891271847 | Cathy Dawson | Dental Hygienist | 135 Cash Rd Nw, Camden, AR 71701-3833 | 2018-07-12 |
| 1477039428 | Leah Pope | Dental Hygienist | 135 Cash Rd Nw, Camden, AR 71701-3833 | 2018-07-12 |
| 1033512678 | Robin Cristy Ruppert | Dental Hygienist | 2200 Fort Roots Dr, Bldg. 32- Room 109, North Little Rock, AR 72114-1709 | 2014-09-26 |
| 1891135083 | Terry L. Watson Dmd Pa | Dental Hygienist | 1171 Highway 62 412, Ash Flat, AR 72513-9612 | 2013-07-02 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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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.