SEAN SULLIVAN (NPI# 1063906071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063906071 |
| Entity Type | Individual |
| Full Name | SEAN SULLIVAN |
| Credential | NP-C |
| Practice Address |
209 S State St Ann Arbor MI 48104-2005 |
| Practice Telephone | 8663892727 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-08-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704288091 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194366070 | Sean Alyston Sullivan | Case Manager/Care Coordinator | 1645 Mountainman Loop, Anchorage, AK 99507-1975 | 2019-10-02 |
| 1750421830 | Sean Timothy Sullivan | Dentist | 18625 Hoich Dr, Omaha, NE 68136-1233 | 2007-02-07 |
| 1265495857 | Sean Patrick Sullivan | Registered Nurse | 141 Lakeshore Dr, Unit A6, Racine, WI 53403-9653 | 2006-04-06 |
| 1093316929 | Sean Sullivan | Pharmacist | 5000 W Pauline Whitaker Pkwy, Rogers, AR 72758-9104 | 2020-11-06 |
| 1043872138 | Sean Sullivan | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098 | 2019-06-28 |
| 1477057958 | Sean Harry Sullivan Jr. | Surgery | 251 E Huron St, Chicago, IL 60611 | 2018-03-20 |
| 1881064970 | Sean Sullivan | Physical Therapist | 30 Broad St, Floor 12, New York, NY 10004-2304 | 2015-10-01 |
| 1932596772 | Sean Patrick Sullivan | Pediatrics | 3901 Beaubien St, Detroit, MI 48201 | 2015-04-20 |
| 1669871604 | Sean Raymond Sullivan | Physical Therapist | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2014-08-15 |
| 1023440401 | Sean Sullivan | Pharmacist | 1607 Way St, Reidsville, NC 27320-5748 | 2013-08-07 |
| Street Address |
209 S STATE ST |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48104-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508492679 | Safa Jaber | Pharmacist | 209 S State St, Ann Arbor, MI 48104-2005 | 2020-03-20 |
| 1417589300 | Zahra Atoui | Pharmacist | 209 S State St, Ann Arbor, MI 48104-2005 | 2020-02-07 |
| 1184255861 | Lalita Chimanlal Patel | Pharmacist | 209 S State St, Ann Arbor, MI 48104-2005 | 2020-01-30 |
| 1952899106 | Zahra H Moshref | Nurse Practitioner | 209 S State St, Ann Arbor, MI 48104-2005 | 2018-04-24 |
| 1518460484 | Dana Leigh Knoll | Nurse Practitioner | 209 S State St, Ann Arbor, MI 48104-2005 | 2018-03-16 |
| 1932500808 | Jennifer Grace Doerfer | Nurse Practitioner | 209 S State St, Ann Arbor, MI 48104-2005 | 2014-09-10 |
| 1629373667 | Woodward Detroit Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 209 S State St, Ann Arbor, MI 48104-2038 | 2011-01-24 |
| 1730286311 | Pamela Ann Olmstead | Nurse Practitioner | 209 S State St, Ann Arbor, MI 48104-2005 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603927 | Julie Corey | Counselor | 2604 Brockman Blvd, Ann Arbor, MI 48104 | 2019-01-28 |
| 1003301045 | Ann Arbor Pharmacy LLC | Pharmacy | 2418 E Stadium Blvd, Ann Arbor, MI 48104 | 2018-06-22 |
| 1811499304 | Melissa L Wright | Physical Therapist | 2850 S Industrial Hwy Suite 200, Ann Arbor, MI 48104 | 2018-03-01 |
| 1689180226 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3500 Washtenaw Ave Ste E3, Ann Arbor, MI 48104 | 2017-12-19 |
| 1861911547 | Jonathen Ross | Social Worker | 500 E. Washington St., Ste 100a, Ann Arbor, MI 48104 | 2017-09-14 |
| 1275058521 | Emily Lauren Hanna | Social Worker | 214 S. Main Street, Suite # 206, Ann Arbor, MI 48104 | 2017-08-08 |
| 1073035457 | Raynaldo Juaquin Valdez | Specialist/Technologist | 500 E. Hoover Ave, Ann Arbor, MI 48104 | 2017-07-07 |
| 1912436908 | Alison Nicole Tseng | Dentist | 2301 Platt Rd Ste 200, Ann Arbor, MI 48104 | 2017-06-05 |
| 1528593183 | Hillary Baldwin Steller, Lmsw,llc | Social Worker | 715-717 E. Huron St, Suite 2e, Ann Arbor, MI 48104 | 2017-04-20 |
| 1013360973 | Teresa Myers | Massage Therapist | 2230 Washtenaw Ave, Suite 101, Ann Arbor, MI 48104 | 2016-07-15 |
| Find all providers in zip 48104 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123857 | Catherine Elizabeth Renner | Nurse Practitioner | 24 Frank Lloyd Wright Dr Lbby L, Ann Arbor, MI 48105-9484 | 2020-08-05 |
| 1043844574 | Courtney Joy Young | Nurse Practitioner | 3071 Signature Blvd Apt E, Ann Arbor, MI 48103-6489 | 2020-02-24 |
| 1093350290 | Justin M Wilbert | Nurse Practitioner | 24 Frank Lloyd Wright Dr # L2300, Ann Arbor, MI 48105-9484 | 2019-11-12 |
| 1821585613 | Jessica Marie Fakhoury | Nurse Practitioner | 1000 E Stadium Blvd Ste 1, Ann Arbor, MI 48104-4616 | 2018-04-17 |
| 1962900241 | Kimberly Jumpp-mehta | Nurse Practitioner | 2100 Springwood Ct, Ann Arbor, MI 48103-2396 | 2018-01-31 |
| 1255765582 | Sarah Pope | Nurse Practitioner | 1014 Island Drive Ct, Apt. 104, Ann Arbor, MI 48105-2027 | 2013-08-22 |
| 1265676233 | Mary Elizabeth Markle | Nurse Practitioner | 412 Longshore Dr, Ann Arbor, MI 48105-1624 | 2009-04-22 |
| 1316004609 | Nancy Agnes Prince | Nurse Practitioner | 1516 Bardstown Trl, Ann Arbor, MI 48105-2876 | 2007-01-03 |
| 1316056005 | Lori Joy Bennett | Nurse Practitioner | 2364 Bishop Ave, Ann Arbor, MI 48105-2248 | 2006-08-29 |
| 1265478176 | Gaia Kile | Nurse Practitioner | 210 Little Lake Dr, Suite 10, Ann Arbor, MI 48103-6218 | 2006-06-20 |
| Find all providers in ANN ARBOR | ||||
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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.