CRYSTAL JEAN SULLIVAN (NPI# 1033752530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033752530 |
| Entity Type | Individual |
| Full Name | CRYSTAL JEAN SULLIVAN |
| Credential | FNP |
| Practice Address |
2500 Fairway St Dickinson ND 58601-2639 |
| Mailing Address |
24661 County Rd S Brush CO 80723-9703 |
| Practice Telephone | 7014564200 |
| Mailing Telephone | 9703717183 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0995068-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326507559 | Crystal Lynn Sullivan | Licensed Practical Nurse | 1446 Nw Catawba Rd, Port Clinton, OH 43452-2820 | 2019-03-18 |
| 1417494121 | Crystal Sullivan | Assistant Behavior Analyst | 5410 Transportation Blvd, Garfield Hts, OH 44125-5380 | 2017-01-20 |
| 1972815447 | Crystal Noel Sullivan | Counselor | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2010-07-13 |
| 1477864502 | Crystal Sullivan | Family Medicine | 3400 W Truman Blvd, Jefferson City, MO 65109-5712 | 2010-06-23 |
| 1124256771 | Crystal F Sullivan | Physician Assistant | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2009-06-22 |
| 1922132893 | Crystal Ladawn Sullivan | Case Manager/Care Coordinator | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2007-03-15 |
| Street Address |
2500 FAIRWAY ST |
| City | DICKINSON |
| State | ND |
| Zip Code | 58601-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568459113 | Brian E O'hara | Internal Medicine | 2500 Fairway St, Dickinson, ND 58601-2639 | 2005-09-29 |
| 1255939146 | Katie Nicole Klug | Dietitian, Registered | 2500 Fairway St, Dickinson, ND 58601-2639 | 2020-10-13 |
| 1497372965 | Deann Schaefer | Nurse Practitioner | 2500 Fairway St, Dickinson, ND 58601-2639 | 2020-07-01 |
| 1447897038 | Dana Marie Glasser | Nurse Practitioner | 2500 Fairway St, Dickinson, ND 58601-2639 | 2019-12-03 |
| 1306495072 | Amy Guzman | Nurse Practitioner | 2500 Fairway St, Dickinson, ND 58601-2639 | 2019-09-05 |
| 1891351177 | Reeann L Mehus | Physical Therapist | 2500 Fairway St, Dickinson, ND 58601-2639 | 2019-05-13 |
| 1083187348 | Gabrielle K Hartze | Dietitian, Registered | 2500 Fairway St, Dickinson, ND 58601-2639 | 2019-01-09 |
| 1043792476 | Kelsey Violet Luce | Physician Assistant | 2500 Fairway St, Dickinson, ND 58601 | 2018-09-01 |
| 1235625070 | Lynette Silbernagel | Registered Nurse | 2500 Fairway St, Dickinson, ND 58601-2639 | 2018-07-05 |
| 1902325624 | Scheryiah J Romero | Speech-Language Pathologist | 2500 Fairway St, Dickinson, ND 58601-2639 | 2017-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171235 | Able Inc | Community/Behavioral Health | 1951 1st Street West, Dickinson, ND 58601 | 2020-10-15 |
| 1922626456 | Tess R Johnson, Pllc | Clinic/Center | 579 River Drive, Dickinson, ND 58601 | 2020-07-10 |
| 1295367449 | Winds of Change Counseling Services LLC | Psychologist | 30 7th St. W, Door A, Dickinson, ND 58601 | 2020-02-05 |
| 1588194351 | Nancy Wanner | Case Manager/Care Coordinator | 135 Sims Street, Suite 208, Dickinson, ND 58601 | 2017-06-14 |
| 1518332352 | Chi St. Joseph's Hospital | General Acute Care Hospital | 2500 Fairway St., Dickinson, ND 58601 | 2015-12-04 |
| 1205200359 | Jenna Weisz | Occupational Therapist | 870 Pheasant Run Ave, Dickinson, ND 58601 | 2015-11-29 |
| 1609243450 | Little Missouri Chiropractic, LLC | Chiropractor | 1462 1-94 Business Loop East, Dickinson, ND 58601 | 2015-08-27 |
| 1053799320 | Lisette Michaels | Speech-Language Pathologist | 683 State Ave N, Dickinson, ND 58601 | 2015-05-07 |
| 1336548221 | Neal Steiner | Pharmacist | 352c 1st St E, Dickinson, ND 58601 | 2014-08-18 |
| 1841607793 | Isaac Akinola | Pharmacist | 1681 Third Ave W., Dickinson, ND 58601 | 2014-07-11 |
| Find all providers in zip 58601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407162 | Taryone Elaine Bernstine | Nurse Practitioner | 1728 N Meridian Greens Dr, Dickinson, TX 77539-8369 | 2018-05-15 |
| 1063682177 | Carol A Reyes | Nurse Practitioner | 4909 Blue Water Ln, Dickinson, TX 77539-6501 | 2008-03-04 |
| 1497372965 | Deann Schaefer | Nurse Practitioner | 2500 Fairway St, Dickinson, ND 58601-2639 | 2020-07-01 |
| 1194362111 | Joann Marie Nupen Lindemann | Nurse Practitioner | 2615 Fairway St, Dickinson, ND 58601-2590 | 2019-12-10 |
| 1447897038 | Dana Marie Glasser | Nurse Practitioner | 2500 Fairway St, Dickinson, ND 58601-2639 | 2019-12-03 |
| 1306495072 | Amy Guzman | Nurse Practitioner | 2500 Fairway St, Dickinson, ND 58601-2639 | 2019-09-05 |
| 1235643164 | Beatrice Cheruiyot | Nurse Practitioner | 646 Fm 517 Rd W, Dickinson, TX 77539-3904 | 2017-11-30 |
| 1144730573 | Diane Jennifer Rosaly | Nurse Practitioner | 676 Fm 517 Rd W, Dickinson, TX 77539-3904 | 2017-10-12 |
| 1699296277 | Anna Jade Newby | Nurse Practitioner | 2615 Fairway St, Dickinson, ND 58601-2590 | 2017-07-04 |
| 1497275572 | Kristine Nicole Gayda | Nurse Practitioner | 2615 Fairway St, Dickinson, ND 58601 | 2017-06-21 |
| Find all providers in DICKINSON | ||||
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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.