MRS. TRACY SULLIVAN (NPI# 1902989957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902989957 |
| Entity Type | Individual |
| Full Name | MRS. TRACY SULLIVAN |
| Credential | N.P. |
| Practice Address |
3001 Expressway Drive North Suite #116 Islandia NY 11749 |
| Practice Telephone | 6312926747 |
| Practice Fax Number | 6312926767 |
| Mailing Telephone | 6312926747 |
| Mailing Fax Number | 6312926767 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2013-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP1700X |
Nurse Practitioner Specialization: Perinatal |
F390010 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821198326 | Tracy L Sullivan | Audiologist | 13 2nd St Sw, Le Mars, IA 51031-2007 | 2006-09-24 |
| 1558962548 | Tracy Michelle Sullivan | Pharmacist | 5433 Reidland Rd, Paducah, KY 42003-0954 | 2020-11-05 |
| 1114531738 | Tracy Lynn Sullivan | Counselor | 40 2nd St E Ste 230, Kalispell, MT 59901-6114 | 2020-09-01 |
| 1689829368 | Tracy Sullivan | Psychologist | 1270 Kings Hwy, Lewes, DE 19958-1735 | 2008-11-24 |
| 1275547101 | Tracy C Sullivan | Dentist | 1880 Pottery Ave, Suite 200, Port Orchard, WA 98366-2518 | 2006-07-28 |
| Street Address |
3001 EXPRESSWAY DRIVE NORTH SUITE #116 |
| City | ISLANDIA |
| State | NY |
| Zip Code | 11749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720013451 | Jordan Katz | Internal Medicine | 3001 Expressway Drive North, Islandia, NY 11749 | 2006-07-11 |
| 1114299617 | Dipti Devendrakumar Patel | Internal Medicine | 3001 Expressway Drive North, Ste. 104, Islandia, NY 11749 | 2012-01-31 |
| 1619137452 | Leticia Nazaire | Nurse Practitioner | 3001 Expressway Drive North, Suite 200 B, Islandia, NY 11749 | 2008-06-16 |
| 1780843409 | Yvonne Leippert | Nurse Practitioner | 3001 Expressway Drive North, University Physicians Suite 200b, Islandia, NY 11749 | 2008-06-06 |
| 1538381405 | Laura A. Doti | Nurse Practitioner | 3001 Expressway Drive North, Suite #116, Islandia, NY 11749 | 2007-05-02 |
| 1306937123 | Barbara E. Principio | Nurse Practitioner | 3001 Expressway Drive North, Suite #116, Islandia, NY 11749 | 2006-09-27 |
| 1457465023 | Kathleen Stergiopoulos | Internal Medicine | 3001 Expressway Drive North, Islandia, NY 11749 | 2006-08-19 |
| 1568470300 | Howard Novotny | Internal Medicine | 3001 Expressway Drive North, Islandia, NY 11749 | 2006-08-04 |
| 1538186002 | Ernst Raeder | Internal Medicine | 3001 Expressway Drive North, Islandia, NY 11749 | 2006-07-17 |
| 1013932250 | William E Lawson | Internal Medicine | 3001 Expressway Drive North, Islandia, NY 11749 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949248 | All Island Medical Services. P.C. | Neurological Surgery | 1717 Veterans Memorial Highway, Suite 2, Islandia, NY 11749 | 2020-04-01 |
| 1184041030 | Sarah Tran | Obstetrics & Gynecology | 3001 Expressway Dr N Ste 116, Islandia, NY 11749 | 2014-03-27 |
| 1275966913 | Viney Mathews | Counselor | 208 Towne House Village, Islandia, NY 11749 | 2013-08-16 |
| 1295170223 | Lawrence Allen Weinberg | Dentist | 68 Sutton Pl, Islandia, NY 11749 | 2013-05-03 |
| 1548517394 | Patricia D Glick | Behavioral Analyst | 1737 Veterans Memorial Hwy Ste 1, Islandia, NY 11749 | 2012-08-11 |
| 1104189554 | Stacey B Ratner | Specialist | 1737 Veterans Memorial Hwy, Islandia, NY 11749 | 2012-06-20 |
| 1851665111 | Fashion Arcade Optics, Inc | Technician/Technologist | 1744 Veneran's Memorial Hwy, Islandia, NY 11749 | 2012-03-05 |
| 1689964132 | Maggie Jean Fils Inc | Physical Therapy Assistant | 84 Salebrush Lane, Islandia, NY 11749 | 2011-04-18 |
| 1174783914 | Deborah Duffy Adkins | Nurse Practitioner | 3001 Expressway Dr North, Suite 200b, Islandia, NY 11749 | 2008-06-16 |
| 1912103086 | Jaime Patricia Spencer | Occupational Therapist | 719 Townehouse, Vlg. Dr., Hauppauge, NY 11749 | 2007-06-25 |
| Find all providers in zip 11749 | ||||
| Taxonomy Code | 363LP1700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Perinatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528472917 | Laura Giardino | Nurse Practitioner | 725 Veteran's Memorial Highway,bldg C928, Hauppauge, NY 11788-0099 | 2014-06-13 |
| 1497079339 | Elaine Brown | Nurse Practitioner | 8900 Van Wyck Expy, Jamaica, NY 11418-2832 | 2010-03-22 |
| 1134356306 | Stefanie Ann Palesado | Nurse Practitioner | 972 Brush Hollow Rd, Westbury, NY 11590-1740 | 2009-06-16 |
| 1215059886 | Pamela A. Eichenlaub | Nurse Practitioner | 4900 Broad Rd, Syracuse, NY 13215-2265 | 2007-04-04 |
| 1144387556 | Margaret Anne Smith | Nurse Practitioner | 180 E Pulaski Rd, Huntington Station, NY 11746-1915 | 2007-01-03 |
| 1174627384 | Maureen R Barbara | Nurse Practitioner | 82 Middle Country Rd, Elsie Owens Health Center - Hrhcare, Inc., Coram, NY 11727-4411 | 2006-09-08 |
Please comment or provide details below to improve the information on MRS. TRACY 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.