MS. KATHERINE LYNETTE SULLIVAN


Address: 6600 Home Camp Rd, Du Bois, PA 15801-5642
Phone: 8145915369

MS. KATHERINE LYNETTE SULLIVAN (NPI# 1063648756) 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) 1063648756
Entity Type Individual
Full Name MS. KATHERINE LYNETTE SULLIVAN
Credential ATC
Practice Address 6600 Home Camp Rd
Du Bois
PA 15801-5642
Practice Telephone 8145915369
Mailing Telephone 8145915369
Enumeration Date 2009-06-08
Last Update Date 2009-06-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
PA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

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1548298011 Katherine Christy Sullivan Pediatrics 1410 Sw Tradition Dr Ste 200, Ankeny, IA 50023 2006-06-30
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1518567130 Katherine E Sullivan Marriage & Family Therapist 1100 W Town and Country Rd Ste 1250, Orange, CA 92868-4633 2020-11-01
1023621422 Katherine Colleen Sullivan Pharmacist 935 Brighton Rd, Tonawanda, NY 14150-8113 2020-08-25

Office Location

Street Address 6600 HOME CAMP RD
City DU BOIS
State PA
Zip Code 15801-5642

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215551452 Grace Polohonki Counselor 490 Jefers Street, Dubois, PA 15801 2020-06-03
1144869231 Richard Lee Kerstetter II Hearing Instrument Specialist 124 San Juan Rd, Du Bois, PA 15801 2020-01-06
1700368487 Holly Noel Knoll Counselor 490 Jeffers Street, Dubois, PA 15801 2018-08-30
1992298160 Dubois Regional Medical Center Family Medicine 145 Hospital Ave Ste 315, Du Bois, PA 15801 2018-06-12
1154814846 Sara Beth Stone Dietitian, Registered 16288 Treasure Lk, Du Bois, PA 15801 2018-06-07
1942790779 Wendi Dawn Wenzel Counselor 490 Jeffers St., Dubois, PA 15801 2018-05-17
1144748443 Nancy Foradora Massage Therapist 200 Narrows Creek Park Road, Dubois, PA 15801 2017-09-07
1679098891 Deborah Jean Mitchell Hearing Instrument Specialist 900 Beaver Drive, Dubois, PA 15801 2017-08-09
1861937757 Shaun M Kanouff Counselor 100 Caldwell Dr., Dubois, PA 15801 2016-12-30
1164897740 Drayer Physical Therapy Institute LLC Physical Therapist 873 Beaver Drive, Dubois, PA 15801 2015-12-08
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154743086 Kristine Foltz Specialist/Technologist 1092 Treasure Lk, Du Bois, PA 15801-9026 2014-01-12
1265498232 James M. Holt Specialist/Technologist 100 Hospital Ave, Du Bois, PA 15801-1440 2006-04-26

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1114528684 Kelsey E Craig Specialist/Technologist 1856 N 16th St Apt 1r, Philadelphia, PA 19121-3301 2020-11-02
1740881333 David Williams Specialist/Technologist 3100 W Thompson St Apt 42, Philadelphia, PA 19121-4485 2020-11-02
1992305940 Alexandra Bossi Specialist/Technologist 450 N 18th St Apt 1032, Philadelphia, PA 19130-4198 2020-10-29
1043810021 Randy W Dillon Specialist/Technologist 617c Chester Pike, Prospect Park, PA 19076-1506 2020-10-28
1871193086 Troy Olsheski Specialist/Technologist 1970 Easton Tpke, Lake Ariel, PA 18436-4661 2020-10-27
1982203055 Josiah Thompson Specialist/Technologist 20 Heather Rd, Feasterville Trevose, PA 19053-6320 2020-10-20
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City DU BOIS
Zip Code 15801

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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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