MARY KATHLEEN SULLIVAN


Address: 1920 Kirby Pkwy Ste 102, Germantown, TN 38138-3654
Phone: 9013345464

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).

Provider Overview

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

Taxonomy

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

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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
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1215267554 Mary J Sullivan Speech-Language Pathologist 95 Skowhegan Rd, Maine Center for Integrated Rehab, Fairfield, ME 04937-3303 2010-01-08
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Office Location

Street Address 1920 KIRBY PKWY STE 102
City GERMANTOWN
State TN
Zip Code 38138-3654

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992768204 Lisa M Myers Internal Medicine 1920 Kirby Pkwy Ste 102, Germantown, TN 38138-3654 2006-04-08

Providers in the same zip code

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 Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City GERMANTOWN
Zip Code 38138

Improve Information

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Dataset Information

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.

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