JACQUELINE P SULLIVAN (NPI# 1033390653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033390653 |
| Entity Type | Individual |
| Full Name | JACQUELINE P SULLIVAN |
| Credential | M.A.,CCC/SLP |
| Practice Address |
1400 S Orlando Ave Winter Park FL 32789-5543 |
| Mailing Address |
939 W 2nd Ave Windermere FL 34786-8517 |
| Practice Telephone | 4072570625 |
| Practice Fax Number | 4078763466 |
| Mailing Telephone | 4072570625 |
| Mailing Fax Number | 4078763466 |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA313 | FL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942663406 | Jacqueline Sullivan | Behavioral Analyst | 1127 Autumn Point Ct, Jacksonville, FL 32218-9030 | 2016-04-01 |
| 1689086704 | Jacqueline Sullivan | Psychologist | 344 Mary St, Downingtown, PA 19335-2518 | 2014-05-22 |
| 1245337435 | Jacqueline A Sullivan | Social Worker | 417 Highland Avenue, Suite 1, Waterbury, CT 06708 | 2006-09-20 |
| 1396201687 | Jacqueline Marie Sullivan | Social Worker | 709 5th Ave W, Hendersonville, NC 28739-4101 | 2019-02-12 |
| 1659829786 | Jacqueline S Sullivan | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2016-09-19 |
| 1124451547 | Jacqueline Florentino Sullivan | Chiropractor | 920 W Indiantown Rd, Suite 107, Jupiter, FL 33458-6847 | 2013-08-21 |
| 1215277736 | Jacqueline B. Sullivan | Social Worker | 384 Washington St, Norwell, MA 02061-2010 | 2013-02-20 |
| 1679847107 | Jacqueline Yvonne Sullivan | Advanced Practice Midwife | 601 E Main St, Waynesboro, PA 17268-2332 | 2012-03-01 |
| 1023393253 | Jacqueline Sullivan | Behavioral Analyst | 6 Southside Rd, Danvers, MA 01923-1409 | 2011-10-19 |
| 1740511104 | Jacqueline Mary Sullivan | Dietitian, Registered | W3985 County Road Nn, Elkhorn, WI 53121-4337 | 2010-01-26 |
| Street Address |
1400 S ORLANDO AVE |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32789-5543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194722520 | Ronald Edward Oppenheim | Psychiatry & Neurology | 1400 S Orlando Ave, Suite 301, Winter Park, FL 32789-5543 | 2005-06-30 |
| 1639603954 | Paul Matthew Viera-briggs | Nurse Practitioner | 1400 S Orlando Ave, Winter Park, FL 32789-5543 | 2017-04-13 |
| 1770037186 | Salh Vision Enterprises Inc | Optometrist | 1400 S Orlando Ave, Suite 320, Winter Park, FL 32789-5543 | 2016-08-15 |
| 1770969545 | Abraham Arroyo | Physical Therapist | 1400 S Orlando Ave, Winter Park, FL 32789-5543 | 2015-08-04 |
| 1538573654 | Select Physical Therapy | Specialist | 1400 S Orlando Ave, Suite 207, Winter Park, FL 32789-5543 | 2014-06-17 |
| 1538462049 | Jeffrey B Friedman Md Pa | Orthopaedic Surgery | 1400 S Orlando Ave, Suite 100, Winter Park, FL 32789-5543 | 2010-12-06 |
| 1912218058 | Shilpa Rashmikant Patel | Family Medicine | 1400 S Orlando Ave, Winter Park, FL 32789-5543 | 2010-06-23 |
| 1851533350 | Adriana Otto Md Pa | Internal Medicine | 1400 S Orlando Ave, Suite 205, Winter Park, FL 32789-5543 | 2009-03-30 |
| 1508059965 | Elizabeth T Hunter Md Pa | Specialist | 1400 S Orlando Ave, Suite 305, Winter Park, FL 32789-5543 | 2007-08-20 |
| 1114076932 | Baseline Rehabilitation Inc | Clinic/Center | 1400 S Orlando Ave, Suite 207, Winter Park, FL 32789-5543 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590894 | Elisabeth Catherine Williams | Speech-Language Pathologist | 1311 Minnesota Ave, Suite C, Winter Park, FL 32789 | 2019-10-18 |
| 1295213692 | Ruth Stern | Counselor | 1177 Louisiana Ave. Ste 214, Winter Park, FL 32789 | 2018-07-30 |
| 1083128961 | Total Care Home Services of Usa, Corp. | In Home Supportive Care | 1936 Lee Rd Ste 120a, Winter Park, FL 32789 | 2017-11-30 |
| 1346753670 | Hand In Hand Home Care Solutions, LLC | Nursing Care | 2233 Lee Rd, Ste 209, Winter Park, FL 32789 | 2017-11-08 |
| 1932621877 | Alexandra Nichole Paden | Homemaker | 941 W. Morse Blvd. #100, Winter Park, FL 32789 | 2017-07-12 |
| 1093258048 | Embracing Balance Counseling Solutions, LLC | Community/Behavioral Health | 320 Grove Avenue, Winter Park, FL 32789 | 2016-11-23 |
| 1083163968 | Interra Health Inc. | Clinic/Center | 600 N Virginia Ave, Winter Park, FL 32789 | 2016-10-03 |
| 1952850943 | Lena Partynska Dinh | Physical Therapist | 1311 Minnesota Avenue, Suite C, Winter Park, FL 32789 | 2016-10-01 |
| 1003363573 | Meagin Knight Stephenson | Occupational Therapist | 1850 Lee Road #134, Lee World Center, Winter Park, FL 32789 | 2016-09-01 |
| 1093261679 | Bronte Green | Physical Therapist | 811 South Orlando Ave, #h Cora Rehab, Winter Park, FL 32789 | 2016-09-01 |
| Find all providers in zip 32789 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155046 | Jennifer Forero | Speech-Language Pathologist | 700 Melrose Ave Apt K41, Winter Park, FL 32789-5664 | 2020-05-14 |
| 1417590894 | Elisabeth Catherine Williams | Speech-Language Pathologist | 1311 Minnesota Ave, Suite C, Winter Park, FL 32789 | 2019-10-18 |
| 1912412339 | Ripple Language, LLC | Speech-Language Pathologist | 1929 Hammerlin Ave, Winter Park, FL 32789-6609 | 2017-12-07 |
| 1407371735 | Danielle Hemphill | Speech-Language Pathologist | 615 Ellendale Dr, Winter Park, FL 32792-2757 | 2017-08-08 |
| 1730551995 | Natasha Sherman | Speech-Language Pathologist | 550 W Morse Blvd., Winter Park, FL 32789 | 2015-10-28 |
| 1063895795 | Jennifer Phillips | Speech-Language Pathologist | 7017 Citrus Point Ct, Winter Park, FL 32792-7500 | 2015-06-30 |
| 1881071173 | Elizabeth Baker | Speech-Language Pathologist | 414 Langholm Dr, Winter Park, FL 32789-5254 | 2015-05-06 |
| 1235532649 | Jason Laviolette | Speech-Language Pathologist | 1197 Village Forest Pl, Winter Park, FL 32792-8106 | 2014-09-30 |
| 1871927160 | Lauren Michelle Rees | Speech-Language Pathologist | 1320 Bessmor Rd, Winter Park, FL 32789-1302 | 2013-08-22 |
| 1699108993 | Dana Lever | Speech-Language Pathologist | 111 E Fairbanks Ave, Winter Park, FL 32789-7004 | 2013-08-10 |
| Find all providers in WINTER PARK | ||||
| City | WINTER PARK |
| Zip Code | 32789 |
Please comment or provide details below to improve the information on JACQUELINE P 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.