Virginia R Sullivan (NPI# 1417273269, PAC ID# 3072873132) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1417273269 |
| PAC ID by PECOS | 3072873132 |
| Professional Enrollment ID | I20180209000912 |
| Full Name | Virginia R Sullivan |
| Organization Legal Name | ASTRA BEHAVIORAL HEALTH LLC |
| Address |
1013 Granite Dr Bardstown KY 40004-2013 |
| Phone Number | 5023493100 |
| Gender | F |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 0749406577 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1013 Granite Dr, Bardstown, KY 40004-2013 | 5023493100 | ASTRA BEHAVIORAL HEALTH LLC |
| 129 Pkwy Dr, Bardstown, KY 40004-3220 | 5022339696 | ASTRA BEHAVIORAL HEALTH LLC |
| Organization Legal Name | ASTRA BEHAVIORAL HEALTH LLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Scot Sandage | Nurse Practitioner | Astra Behavioral Health LLC | 203 A Fairgrounds Rd, Hardinsburg, KY 40143-2585 |
| Nicole S Abbott | Clinical Social Worker | Astra Behavioral Health LLC | 129 Pkwy Dr, Bardstown, KY 40004-3220 |
| Mary H Simms-boone | Clinical Social Worker | Astra Behavioral Health LLC | 420 N Loretto Rd, Suite 200, Lebanon, KY 40033-1630 |
| Cheryl Lynn Miller Tivitt | Clinical Social Worker | Astra Behavioral Health LLC | 151 Drexler Cir, Suite 1, Elizabethtown, KY 42701-7843 |
| Tracy R Duvall | Clinical Social Worker | Astra Behavioral Health LLC | 129 Pkwy Dr, Bardstown, KY 40004-3220 |
| Sandy M Hampton | Psychologist, Clinical | Astra Behavioral Health LLC | 129 Pkwy Dr, Bardstown, KY 40004-3220 |
| Deborah E Jones | Clinical Social Worker | Astra Behavioral Health LLC | 129 Pkwy Dr, Bardstown, KY 40004-3220 |
| Marinda Moore Schneider | Nurse Practitioner | Astra Behavioral Health LLC | 1239 Woodland Dr, Suite 10, Elizabethtown, KY 42701-2770 |
| Samantha Elizabeth Richards | Nurse Practitioner | Astra Behavioral Health LLC | 129 Pkwy Dr, Bardstown, KY 40004-3220 |
| Andrea Gifford | Nurse Practitioner | Astra Behavioral Health LLC | 1013 Granite Dr, Bardstown, KY 40004-2013 |
| Street Address |
1013 GRANITE DR |
| City | BARDSTOWN |
| State | KY |
| Zip | 40004-2013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Gifford | Nurse Practitioner | Astra Behavioral Health LLC | 1013 Granite Dr, Bardstown, KY 40004-2013 |
| Amanda Medley | Nurse Practitioner | Astra Behavioral Health LLC | 1013 Granite Dr, Bardstown, KY 40004-2013 |
| Jennifer Bartley | Nurse Practitioner | Astra Behavioral Health LLC | 1013 Granite Dr, Bardstown, KY 40004-2013 |
| Geneva Ann Lynch | Nurse Practitioner | Astra Behavioral Health LLC | 1013 Granite Dr, Bardstown, KY 40004-2013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlotte L Adams | Nurse Practitioner | Communicare Inc | 331 S 3rd St, Bardstown, KY 40004-1032 |
| Karel E Disponett | Psychologist, Clinical | Communicare Inc | 331 S 3rd St, Bardstown, KY 40004-1032 |
| Theresa G Johns | Clinical Social Worker | Communicare Inc | 331 S 3rd St, Bardstown, KY 40004-1032 |
| Thomas Brown | Psychiatry | Communicare Inc | 331 S 3rd St, Bardstown, KY 40004-1032 |
| Darren Morgan Patrick | Optometry | Patrick Eye Care Pllc | 115 S 5th St, Bardstown, KY 40004-1108 |
| Holly R Schat | Optometry | Clarkson Optometry Midwest Inc | 115 S 5th St Bardstown, Bardstown, KY 40004-1108 |
| Stephanie Leon | Chiropractic | 214 W John Fitch Ave, Bardstown, KY 40004-1115 | |
| Thomas G Brelage | Optometry | 206 W John Fitch Ave, Bardstown, KY 40004-1115 | |
| Edward B Brockman | Ophthalmology | John Kenyon American Eye Institute, LLC | 206 W John Fitch Ave, Bardstown, KY 40004-1115 |
| David Rodriguez | Diagnostic Radiology | Hardin Professional Services, LLC | 201 S 5th St, Bardstown, KY 40004-1142 |
| Find all physicians in zip 40004 | |||
| City | BARDSTOWN |
| Zip Code | 40004 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BARDSTOWN + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Virginia R Sullivan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.