MRS. DARRIAN RENEE SULLIVAN (NPI# 1073147989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073147989 |
| Entity Type | Individual |
| Full Name | MRS. DARRIAN RENEE SULLIVAN |
| Credential | DNP |
| Practice Address |
5825 Broadway Merrillville IN 46410-2687 |
| Mailing Address |
197 W 76th Ave Merrillville IN 46410-4728 |
| Practice Telephone | 2196893199 |
| Mailing Telephone | 2196893199 |
| Enumeration Date | 2020-02-29 |
| Last Update Date | 2020-02-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
28204072A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5825 BROADWAY |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-2687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679521827 | Richard H. Hsu | Internal Medicine | 5825 Broadway, Suiteb, Merrillville, IN 46410-2687 | 2006-05-04 |
| 1437338829 | Surendra J Shah PC | Internal Medicine | 5825 Broadway, Suite A, Merrillville, IN 46410-2687 | 2007-11-01 |
| 1861686701 | Geneva Osawe | Social Worker | 5825 Broadway, Suite D, Merrillville, IN 46410-2687 | 2007-09-04 |
| 1790901940 | Navin Kumar | Internal Medicine | 5825 Broadway, Suite B, Merrillville, IN 46410-2664 | 2007-04-17 |
| 1154544310 | Joanna Newman | Nurse Practitioner | 5825 Broadway, Suite B, Merrillville, IN 46410-2687 | 2007-04-10 |
| 1437230745 | Family Matters Institute, Inc. | Social Worker | 5825 Broadway, Suite D, Merrillville, IN 46410-2687 | 2006-10-17 |
| 1780693341 | Pratima M Mehta | Personal Emergency Response Attendant | 5825 Broadway, Suite A, Merrillville, IN 46410-2687 | 2006-08-05 |
| 1528088689 | Surendra J Shah | Internal Medicine | 5825 Broadway, Suite A, Merrillville, IN 46410-2687 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425364 | Jilaina J Talylor | Nurse Practitioner | 5490 Broadway Ste 106, Merrillville, IN 46410-1676 | 2020-07-23 |
| 1215550546 | Shannon Lynn Knight | Nurse Practitioner | 1413 W 82nd Pl, Merrillville, IN 46410-5274 | 2020-05-21 |
| 1922634609 | Donna J Peck | Nurse Practitioner | 2405 W 60th Dr, Merrillville, IN 46410-2143 | 2020-03-13 |
| 1295207298 | Monique Mansfield | Nurse Practitioner | 5118 E Lincoln Hwy, Merrillville, IN 46410-5915 | 2019-01-02 |
| 1821574187 | Stephanie M Howard | Nurse Practitioner | 609 W 77th Ave, Merrillville, IN 46410-5776 | 2018-07-19 |
| 1710499298 | Christy Marie Kersey | Nurse Practitioner | 371 E 84th Dr # 371, Merrillville, IN 46410 | 2017-10-24 |
| 1598284820 | Jose Angel Rodriguez Jr. | Nurse Practitioner | Informe Healthcare In, LLC, 8800 Virginia Pl, Merrillville, IN 46410-7109 | 2017-09-19 |
| 1982052866 | Kenneth James Scott | Nurse Practitioner | 333 W. 89th Avenue, Suite W-5, Merrillville, IN 46410 | 2016-06-01 |
| 1679966030 | Regina Nelson | Nurse Practitioner | 3147 W 65th Ave, Merrillville, IN 46410-2978 | 2015-03-10 |
| 1275875080 | Elana Harris | Nurse Practitioner | 276 E 68th Pl, Merrillville, IN 46410-3566 | 2013-03-19 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on MRS. DARRIAN RENEE SULLIVAN.
| 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.