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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003468646 | Katherine Ann Sullivan | Registered Nurse | 1020 Glenlake Ave, Park Ridge, IL 60068-5150 | 2019-07-14 |
1053976779 | Katherine Sullivan | Counselor | 201 S Elliott Rd Apt 243, Chapel Hill, NC 27514-5967 | 2019-05-08 |
1285033878 | Katherine Josephine Sullivan | Physical Therapist | 194 Loch Lomond Rd, Rancho Mirage, CA 92270 | 2014-08-19 |
1114334604 | Katherine Sullivan | Specialist/Technologist | 5501 Old Montgomery Hwy Apt 8213, Tuscaloosa, AL 35405-4908 | 2014-07-16 |
1487972345 | Katherine Frances Sullivan | Registered Nurse | 9047 Executive Park Dr Ste 210, Knoxville, TN 37923-4625 | 2010-05-17 |
1437272028 | Katherine Beth Sullivan | Occupational Therapist | 88 Patchogue Ave, Patchogue, NY 11772-1694 | 2007-04-09 |
1548298011 | Katherine Christy Sullivan | Pediatrics | 1410 Sw Tradition Dr Ste 200, Ankeny, IA 50023 | 2006-06-30 |
1679530141 | Katherine T Sullivan | Obstetrics & Gynecology | 17183 Interstate 45 S Ste 410, Shenandoah, TX 77385-3313 | 2006-04-28 |
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 |
Street Address |
6600 HOME CAMP RD |
City | DU BOIS |
State | PA |
Zip Code | 15801-5642 |
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 |
Find all providers in zip 15801 |
Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
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] |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942801642 | Allison Zilonis | Specialist/Technologist | 1923 Oak Hills Dr, Hanover, PA 17331-8522 | 2020-11-08 |
1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
1841891108 | Sydney Charles | Specialist/Technologist | 6325 Martins Mill Rd, Philadelphia, PA 19111-5321 | 2020-11-03 |
1871194308 | Alexander Hedrick | Specialist/Technologist | 33 Derstine Rd, Hatfield, PA 19440-3406 | 2020-11-02 |
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 |
Find all providers with the same taxonomy |
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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.