JENNIFER SULLIVAN (NPI# 1033778360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033778360 |
| Entity Type | Individual |
| Full Name | JENNIFER SULLIVAN |
| Practice Address |
3703 Stearns Hill Rd Waltham MA 02451-7134 |
| Practice Telephone | 6175952739 |
| Mailing Telephone | 6175952739 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN2328056 | MA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907232 | Jennifer Sullivan | Massage Therapist | 82884 N Pacific Hwy, Creswell, OR 97426-9407 | 2020-09-21 |
| 1558820290 | Jennifer Sullivan | Specialist/Technologist | 6799 Krenson Oaks Cir, Lakeland, FL 33810-2157 | 2019-03-12 |
| 1043780364 | Jennifer P Sullivan | Lactation Consultant, Non-RN | 33 Arlington Ave Ste 4, Poughkeepsie, NY 12603-1603 | 2018-11-29 |
| 1942750484 | Jennifer Sullivan | Physical Therapy Assistant | 518 Phillips Rd # A, Levant, ME 04456-4446 | 2016-10-07 |
| 1770953051 | Jennifer Sullivan | Occupational Therapy Assistant | 3815 W Mason Rd, Deer Park, WA 99006-9511 | 2015-09-30 |
| 1720470552 | Jennifer M Sullivan | Specialist | 88 Slocum Ave, Tappan, NY 10983-2610 | 2015-03-03 |
| 1093122475 | Jennifer Sullivan | Nurse Practitioner | 15 Gracelawn Rd Ste 203, Auburn, ME 04210-6344 | 2014-07-17 |
| 1164778635 | Jennifer Sullivan | Early Intervention Provider Agency | 51 Churchill Ln, Smithtown, NY 11787-4039 | 2012-08-02 |
| 1881956472 | Jennifer Sullivan | Specialist | 4663 189th St, Flushing, NY 11358-3834 | 2012-06-11 |
| 1316279409 | Jennifer Sullivan | Occupational Therapist | 45 S Crescent Circuit, Brighton, MA 02135-3045 | 2010-02-01 |
| Street Address |
3703 STEARNS HILL RD |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-7134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568099497 | Stephanie Sabatino | Registered Nurse | 18 Mountain Rd, Waltham, MA 02451-1334 | 2020-03-23 |
| 1255830543 | Pearl Alweny | Registered Nurse | 247 Ridge Ln Apt 11, Waltham, MA 02452-4982 | 2018-02-01 |
| 1750822136 | Shirley Charles | Registered Nurse | 26 Piedmont Ave, Waltham, MA 02451-3013 | 2017-03-17 |
| 1659731701 | Irene Signorello | Registered Nurse | 25 Barbara Rd, Waltham, MA 02453-6950 | 2016-03-02 |
| 1710370713 | Barbara Ray | Registered Nurse | 47 Bacon St Apt 4, Waltham, MA 02451-4351 | 2015-03-15 |
| 1023438751 | William Ssegujja | Registered Nurse | 5 Bartont St, Apt 1, Waltham, MA 02453-6008 | 2014-04-21 |
| 1750622528 | Victorine Muyang Nduku | Registered Nurse | 45 Judith Ln Apt 7, Waltham, MA 02452-7246 | 2013-03-04 |
| 1699015370 | Raya Goldenberg | Registered Nurse | 132 Clocktower Dr, Apt. 4312, Waltham, MA 02452-7873 | 2013-02-18 |
| 1518228436 | Mercy N Enemchukwu | Registered Nurse | 27 Fiske Ave, Waltham, MA 02453-7703 | 2012-06-06 |
| 1821359951 | Jacqueline Lyttle | Registered Nurse | 45a Charlesbank Way, Waltham, MA 02453-2501 | 2012-06-05 |
| Find all providers in WALTHAM | ||||
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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.