MARY KATHLEEN SULLIVAN (NPI# 1053735282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053735282 |
Entity Type | Individual |
Full Name | MARY KATHLEEN SULLIVAN |
Credential | DNP, FNP, RN |
Practice Address |
1920 Kirby Pkwy Ste 102 Germantown TN 38138-3654 |
Practice Telephone | 9013345464 |
Practice Fax Number | 9013345466 |
Mailing Telephone | 9013345464 |
Mailing Fax Number | 9013345466 |
Enumeration Date | 2014-02-07 |
Last Update Date | 2015-09-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APN 12894 | TN | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487135430 | Mary Sullivan | Registered Nurse | 2527 Hiawatha, San Antonio, TX 78210-5422 | 2018-08-28 |
1508315961 | Mary Sheila Sullivan | Dietitian, Registered | 16 Raymond Dr, Wilbraham, MA 01095-2606 | 2016-09-27 |
1073851192 | Mary Barbara Sullivan | General Practice | 1403 Wind River Dr Se, Huntsville, AL 35802-3936 | 2013-01-24 |
1144572546 | Mary Elizabeth Sullivan | Social Worker | 123 Garden St, Needham, MA 02492-2029 | 2012-10-09 |
1164784781 | Mary Sullivan | Specialist | 3 Hawthorne St, Hicksville, NY 11801-2607 | 2012-06-10 |
1811268980 | Mary E Sullivan | Psychologist | 901 E Hackberry Ave Rm C-204, Mcallen, TX 78501-6502 | 2012-01-22 |
1366756272 | Mary Kate Sullivan | Occupational Therapy Assistant | 50 Madison Rd, Dumas, AR 71639-9385 | 2010-08-03 |
1740592955 | Mary Elizabeth Sullivan | Social Worker | 2201 South 17th Street, Lincoln, NE 68502-2953 | 2010-07-06 |
1215267554 | Mary J Sullivan | Speech-Language Pathologist | 95 Skowhegan Rd, Maine Center for Integrated Rehab, Fairfield, ME 04937-3303 | 2010-01-08 |
1588893564 | Mary Loraine Sullivan | Obstetrics & Gynecology | 133 W Main St # 240, El Cajon, CA 92020-3315 | 2009-07-10 |
Street Address |
1920 KIRBY PKWY STE 102 |
City | GERMANTOWN |
State | TN |
Zip Code | 38138-3654 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992768204 | Lisa M Myers | Internal Medicine | 1920 Kirby Pkwy Ste 102, Germantown, TN 38138-3654 | 2006-04-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
Find all providers in zip 38138 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033724349 | Tatum Lee Severino I | Nurse Practitioner | 8819 Three Chimneys Dr E, Germantown, TN 38138-8206 | 2020-09-14 |
1710309877 | Roselyn Delaney Magitt | Nurse Practitioner | 1325 Wolf Park Dr Ste 102, Germantown, TN 38138-1759 | 2014-01-09 |
1316386121 | Getz Internal and Behavioral Services, LLC | Nurse Practitioner | 1920 Kirby Pkwy, Suite 102, Germantown, TN 38138-3696 | 2013-06-14 |
1508010687 | Joy D Kreskow | Nurse Practitioner | 19735 Germantown Rd, Suite 300, Germantown, MD 20874-1214 | 2008-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750982658 | Kirsten Marie Doerfer | Nurse Practitioner | 8512 Golden Cloud Ln, Knoxville, TN 37931-3164 | 2020-11-06 |
1912506551 | Anna Simpson Jones | Nurse Practitioner | 1042 E 3rd St Ste 103, Chattanooga, TN 37403-2161 | 2020-10-24 |
1871106930 | Munira Asif | Nurse Practitioner | 874 Schilling Farm Rd Apt 106, Collierville, TN 38017-7039 | 2020-08-28 |
1669000840 | Tekeyla Warfield | Nurse Practitioner | 2980 Poplar Ave, Memphis, TN 38111-3527 | 2020-04-01 |
1578197836 | Jessica Pratt | Nurse Practitioner | 512 Marbury Rd, Tullahoma, TN 37388-2142 | 2020-02-26 |
1730729278 | Anna Abigail Markus | Nurse Practitioner | 211 Long Branch Rd, Lawrenceburg, TN 38464-5400 | 2020-01-13 |
1023653037 | Staci Garner | Nurse Practitioner | 2508 Highway 130, Petersburg, TN 37144-8001 | 2019-11-13 |
1881238533 | Janna Rae Haskins | Nurse Practitioner | 5137 Vinnie Dell Drive, Chapel Hill, TN 37034 | 2019-11-05 |
1124676325 | Marde M Walker | Nurse Practitioner | 8225 Highway 51 North, Millington, TN 38053 | 2019-08-30 |
1952864449 | Misty A Roberson | Nurse Practitioner | 127 Oakland Dr, Gallatin, TN 37066-4725 | 2019-04-10 |
Find all providers with the same taxonomy |
City | GERMANTOWN |
Zip Code | 38138 |
Please comment or provide details below to improve the information on MARY KATHLEEN 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.