AMY SULLIVAN (NPI# 1063990380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063990380 |
| Entity Type | Individual |
| Full Name | AMY SULLIVAN |
| Credential | M.S.-SLP |
| Practice Address |
1326 Church St Zachary LA 70791-2743 |
| Practice Telephone | 2246548208 |
| Practice Fax Number | 2256544642 |
| Mailing Telephone | 2246548208 |
| Mailing Fax Number | 2256544642 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 8133 | LA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | STATE LICENSE | 8133 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609057298 | Amy L Sullivan | Dietitian, Registered | 4905 Havana Dr, Pittsburgh, PA 15239-2401 | 2007-11-24 |
| 1922028166 | Amy E Sullivan | Obstetrics & Gynecology | University of Utah Hospital Clinics Dept of Ob/gyn, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2006-07-20 |
| 1275145369 | Amy Sullivan | Nurse Practitioner | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2020-08-19 |
| 1396389813 | Amy Sullivan | Speech-Language Pathologist | 811 Keylon St, Manchester, TN 37355-2413 | 2019-10-29 |
| 1801328596 | Amy Lynn Sullivan | Speech-Language Pathologist | 4050 Avon Rd, Geneseo, NY 14454-9721 | 2017-03-31 |
| 1124488796 | Amy E Sullivan | Physical Therapist | 41 Sanderson Road, Suite 101, Smithfield, RI 02917-2611 | 2016-02-25 |
| 1417328915 | Amy Sullivan | Counselor | 705 Washington St, Ravenswood, WV 26164-1729 | 2015-10-10 |
| 1053735639 | Amy Sullivan | Nurse Practitioner | 5830 Highway 5, Cabot, AR 72023-7328 | 2014-02-18 |
| 1124450721 | Amy Beth Sullivan | Case Manager/Care Coordinator | 1250 Kirts Blvd Ste 300, Troy, MI 48084-4855 | 2013-08-06 |
| 1003151663 | Amy Lee Sullivan | Social Worker | 96 South St, Ware, MA 01082-1616 | 2012-12-06 |
| Street Address |
1326 CHURCH ST |
| City | ZACHARY |
| State | LA |
| Zip Code | 70791-2743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770568669 | Alvin C Moreau Jr Licensed | Physical Therapist | 1326 Church St, Zachary, LA 70791-2743 | 2005-12-13 |
| 1568086809 | Kayli Albares | Physical Therapist | 1326 Church St, Zachary, LA 70791-2743 | 2020-06-02 |
| 1144871716 | Sydney Ray Whittingslow | Occupational Therapist | 1326 Church St, Zachary, LA 70791-2743 | 2019-09-25 |
| 1508413717 | Taylor Paul Harrington | Physical Therapist | 1326 Church St, Zachary, LA 70791-2743 | 2019-08-22 |
| 1932766995 | Madeline E Roohi | Occupational Therapist | 1326 Church St, Zachary, LA 70791-2743 | 2019-05-24 |
| 1992264451 | Karen Yvette Kittredge | Occupational Therapist | 1326 Church St, Zachary, LA 70791-2743 | 2019-03-14 |
| 1871058586 | Mary Margaret Macdonald | Speech-Language Pathologist | 1326 Church St, Zachary, LA 70791-2743 | 2019-02-06 |
| 1518430172 | Kristin Nicole Hornsby | Physical Therapist | 1326 Church St, Zachary, LA 70791-2743 | 2019-01-07 |
| 1699241083 | Michelle Trahan | Speech-Language Pathologist | 1326 Church St, Zachary, LA 70791-2743 | 2018-10-23 |
| 1215411210 | Danielle H Imarata | Physical Therapist | 1326 Church St, Zachary, LA 70791-2743 | 2018-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164054110 | Amandalin Hopkins Whittington | Occupational Therapist | 4555 Bert St, Zachary, LA 70791 | 2020-02-07 |
| 1346883352 | Dr Terrell S Manuel LLC | Nurse Practitioner | 12038 Greenwell Springs/port Hudson Road, Zachary, LA 70791 | 2019-10-22 |
| 1902451131 | Edward Williams | Case Manager/Care Coordinator | 22749 Fairvway View Drive, Zachary, LA 70791 | 2019-08-05 |
| 1275090672 | Ashley Talbot Thompson | Nurse Practitioner | 5645 Newell St, Zachary, LA 70791 | 2019-02-22 |
| 1659867265 | American Oncology Partners, P.a. | Internal Medicine | 1673 E Mount Pleasant Rd Unit F102, Zachary, LA 70791 | 2018-07-06 |
| 1629574447 | Darren Keith Ryland | Massage Therapist | 5037 Main St, Suite B, Zachary, LA 70791 | 2018-04-02 |
| 1306355102 | Radiation Oncology Center - Zachary | Clinic/Center | 6180 Main Street, Ste B, Zachary, LA 70791 | 2017-09-25 |
| 1861913568 | Sylvia Simone Henderson | Case Manager/Care Coordinator | 8932 Highland Oaks Ave, Zachary, LA 70791 | 2017-07-03 |
| 1346770674 | Gaylian Anthony White | Counselor | 20051 Old Senic Hwy, Apt 2605, Zachary, LA 70791 | 2017-06-19 |
| 1104353218 | Jessica Rene Griffin | Counselor | 6676 Lakeridge Drive, Zachary, LA 70791 | 2017-05-19 |
| Find all providers in zip 70791 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295112274 | Gina Moran Leyrer | Speech-Language Pathologist | 16846 Weyanoke Dr, Zachary, LA 70791-8844 | 2015-04-29 |
| 1740602259 | Pamela Craig | Speech-Language Pathologist | 1065 E Flonacher Rd, Zachary, LA 70791-6803 | 2014-01-17 |
| 1801022884 | Jennifer Chanel Hauer | Speech-Language Pathologist | 6042 Woodside Dr, Zachary, LA 70791-2693 | 2009-06-04 |
| 1295995363 | Kathleen S Ross | Speech-Language Pathologist | 4565 Little Farms Dr, Zachary, LA 70791-4348 | 2008-06-12 |
| 1679741797 | Mary Catherine Cranford | Speech-Language Pathologist | 21520 Port Hickey Rd, Zachary, LA 70791-6728 | 2008-02-11 |
| 1871778985 | Chandra H Henderson | Speech-Language Pathologist | 3370 Mchugh Rd, Zachary, LA 70791-5811 | 2008-01-08 |
| 1619167426 | Gretchen B Hedges | Speech-Language Pathologist | 5207 Myrtle Hill Ave, Zachary, LA 70791-3065 | 2007-07-27 |
| 1063626513 | Shecoda Denise Pinkney | Speech-Language Pathologist | 3305 Ramey Dr., Zachary, LA 70791 | 2007-05-10 |
| 1326264094 | Courtney Romero Sanford | Speech-Language Pathologist | 23130 Elberta Ln, Zachary, LA 70791-6013 | 2007-04-18 |
| 1386869170 | Sarah M Hooge | Speech-Language Pathologist | 8407 Pin Oak Dr, Zachary, LA 70791-7131 | 2007-04-16 |
| Find all providers in ZACHARY | ||||
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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.