EMILY N. SULLIVAN


Address: 6030 W University Blvd, Odessa, TX 79764-8530
Phone: 4326406600

EMILY N. SULLIVAN (NPI# 1942675145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942675145
Entity Type Individual
Full Name EMILY N. SULLIVAN
Credential PA-C
Practice Address 6030 W University Blvd
Odessa
TX 79764-8530
Mailing Address Po Box 2129
Odessa
TX 79760-2129
Practice Telephone 4326406600
Practice Fax Number 4326404790
Mailing Telephone 4326406600
Mailing Fax Number 4326404790
Enumeration Date 2015-12-14
Last Update Date 2017-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA10257 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 356945102 05

Other Providers EMILY SULLIVAN

NPI Name Taxonomy Address Enumeration
1376152629 Emily Esther Sullivan Dietitian, Registered 225 E Allen St, Lancaster, OH 43130-2626 2020-07-23
1861930489 Emily Elizabeth Sullivan Registered Nurse 106 Nate Whipple Hwy Ste 101, Cumberland, RI 02864 2017-02-02
1053788554 Emily Marianne Sullivan Lactation Consultant, Non-RN 636 Lincoln Blvd, Westwood, NJ 07675-3433 2015-08-31
1033381660 Emily Ricker Sullivan Behavioral Analyst 85 Wardwell Rd, West Hartford, CT 06107-3003 2008-03-24
1134733132 Emily Ann Sullivan Behavior Technician 21000 S Frankfort Square Rd Ste D, Frankfort, IL 60423-9386 2020-09-07
1043829781 Emily Sullivan Registered Nurse 735 Attucks Ln, Hyannis, MA 02601-1867 2020-07-29
1841816907 Emily Sullivan Behavior Technician 11575 E Laketowne Dr, Albertville, MN 55301-4348 2020-06-24
1376167213 Emily Sullivan Student in an Organized Health Care Education/Training Program 1493 Cambridge St, Cambridge, MA 02139-1047 2020-06-06
1265089411 Emily Anne Sullivan Behavioral Analyst 607 North Ave, Door 11 2nd Floor, Wakefield, MA 01880 2019-08-22
1437672201 Emily Sullivan Speech-Language Pathologist 2601 Bransford Ave, Nashville, TN 37204-2811 2017-07-24

Office Location

Street Address 6030 W UNIVERSITY BLVD
City ODESSA
State TX
Zip Code 79764-8530

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376807362 Mavis Twum-barimah Family Medicine 6030 W University Blvd, Odessa, TX 79764-8530 2012-06-25
1184261950 Christian Richardson Nurse Practitioner 6030 W University Blvd, Odessa, TX 79764-8530 2019-11-29
1386289833 Juliet Arihi Nurse Practitioner 6030 W University Blvd, Odessa, TX 79764-8530 2019-11-07
1194288332 Edak Akan Nurse Practitioner 6030 W University Blvd, Odessa, TX 79764-8530 2019-04-12
1679074488 Dayanelie Reyes Physician Assistant 6030 W University Blvd, Odessa, TX 79764-8530 2018-02-27
1093254740 Beverly Mariel Gifford Nurse Practitioner 6030 W University Blvd, Odessa, TX 79764-8530 2017-02-14
1558715201 Ector County Hospital District Clinic/Center 6030 W University Blvd, 6030 W University Blvd, Odessa, TX 79764-8530 2016-04-19
1992119838 Gary Chase Jackson Optometrist 6030 W University Blvd, Odessa, TX 79764 2014-06-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710466610 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 3050 W University Blvd, Odessa, TX 79764 2018-08-10
1962897405 H-e-b, Lp Clinical Medical Laboratory 2501 W. University Blvd, Odessa, TX 79764 2015-04-01
1184022758 Md Moinul Islam Physician Assistant 6030 W. University, Odessa, TX 79764 2014-12-15
1962618637 D&s Residential Services Intermediate Care Facility, Mentally Retarded 10036 West Westland Drive, Odessa, TX 79764 2007-05-16
1609128594 Amanda Lynn Paradeaux Nurse Practitioner 3001 W University Blvd, Odessa, TX 79764 2012-10-03
1760619498 Cindy A Smith Speech-Language Pathologist 8712 Claymoor Dr, Odessa, TX 79764-1252 2009-06-21
1003316084 Maranda Pina Garza Licensed Vocational Nurse 24 Bookins Ct, Odessa, TX 79764-1401 2018-02-16
1255378717 United Supermarkets LLC Durable Medical Equipment & Medical Supplies 2751 N County Rd W, Odessa, TX 79764-1665 2006-06-01
1578112454 Shaikat Banerjee Pharmacist 2751 N County Rd W, Odessa, TX 79764-1665 2019-09-04
1821598939 Maichel Roshdy Pharmacist 2751 N County Rd W, Odessa, TX 79764-1665 2018-02-15
Find all providers in zip 79764

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891234969 Jesus Mendez Fuentes Physician Assistant 2224 Alameda Ct, Odessa, TX 79763-2273 2017-02-22
1649640392 Elesea Celeste Villegas Physician Assistant 701 West 5th Street, Odessa, TX 79763 2015-10-06
1184022758 Md Moinul Islam Physician Assistant 6030 W. University, Odessa, TX 79764 2014-12-15
1962711200 Ramnauth Robert Ramkissoon Physician Assistant 1940 E 42nd St Ste B, Odessa, TX 79762-5840 2010-10-05
1629304811 Erika Alfaro Salvo Physician Assistant 4222 Wendover Ave Ste 600, Odessa, TX 79762-5983 2009-10-23
1508002262 Javier E Espinoza Physician Assistant 1220 W. University, Odessa, TX 79763 2008-12-31
1679511802 J David Barr Physician Assistant 16734 Ivy Lake Dr, Odessa, FL 33556-6020 2006-06-02
1275171423 Kailani Alana Lee Decock Physician Assistant 520 E 6th St, Odessa, TX 79761-4527 2019-12-18
1255986402 Alexandra R Fierro Physician Assistant 720 Golder Ave, Odessa, TX 79761-4442 2019-08-05
1538714076 Stephanie Renee' Powell Physician Assistant 520 E 6th St, Odessa, TX 79761-4527 2019-08-01
Find all providers in ODESSA

Competitor

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City ODESSA
Zip Code 79764

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Dataset Information

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.

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