MRS. NINA NOELLA SULLIVAN


Address: 2746 Shadow View Dr, Eugene, OR 97408-4610
Phone: 5413450551

MRS. NINA NOELLA SULLIVAN (NPI# 1073820437) 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) 1073820437
Entity Type Individual
Full Name MRS. NINA NOELLA SULLIVAN
Credential LMT
Practice Address 2746 Shadow View Dr
Eugene
OR 97408-4610
Mailing Address 6653 Jacob Ln
Springfield
OR 97478-2110
Practice Telephone 5413450551
Mailing Telephone 5414845688
Enumeration Date 2010-09-07
Last Update Date 2010-09-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor 3320 OR Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO ASSOCIATED BODYWORK AND MASSAGE PROFESSIONALS 784803 01

Other Providers NINA SULLIVAN

NPI Name Taxonomy Address Enumeration
1063077352 Nina Sullivan Nurse Practitioner 7240 Courtland Farm Rd, Hanover, VA 23069-1564 2019-05-02

Office Location

Street Address 2746 SHADOW VIEW DR
City EUGENE
State OR
Zip Code 97408-4610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003103250 Bello LLC. Clinic/Center 2746 Shadow View Dr, Eugene, OR 97408-4610 2011-07-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619575008 Janna Marie Check Physician Assistant 3555 Chad Drive, Eugene, OR 97408 2020-10-16
1376181982 Quentin Rowan Counselor 91150 Industrial Way, Coburg, OR 97408 2019-12-13
1659918621 Nicholas Andrew Sparks Counselor 91150coburg Industrial Way, Coburg, OR 97408 2019-12-09
1629619267 Suzan Marie Farr Counselor 91150 Coburg Industrial Lane, Coburg, OR 97408 2019-10-04
1629538608 Shawn Michael Feddersen Hearing Instrument Specialist 1020 Green Acres Rd #8, Eugene, OR 97408 2019-03-25
1427513241 Margaret Elizabeth Desroches Registered Nurse Delta Oaks Community Health Center, 1022 Green Acres Rd., Eugene, OR 97408 2019-02-06
1295218527 Stephen Duane Sawyer Counselor 91150 N Coburg Industrial Way, Coburg, OR 97408 2018-09-12
1003339466 Carly M. Peterschmidt, Dmd, LLC Clinic/Center 622 E 22nd Avenue, Suite A, Eugene, OR 97408 2017-07-18
1821549536 Eugene Urgent Care Clinic/Center 1800 Coburg Rd., Eugene, OR 97408 2016-10-18
1851752232 Nicole Marie Westbrook Chiropractor 90971 S Willamette St, Coburg, OR 97408 2016-03-14
Find all providers in zip 97408

Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245687664 Kyla Coy Contractor 1000 Willagillespie Rd Ste 375, Eugene, OR 97401 2016-05-16
1336564277 Wanda Sigafus Contractor 1292 High St # 195, Eugene, OR 97401-3238 2014-03-01
1225378706 Jocelyn Judith Burdick Contractor 301 W 5th Ave Ste B, Eugene, OR 97401-2506 2013-02-21
1891049706 Chris P Mulder Contractor 1692 Brewer Ave, Eugene, OR 97401-1915 2012-10-30
1730493818 Christine Krieger Contractor 392 E 3rd Street #5, Eugene, OR 97404 2010-08-02
1235455890 Barbara L. Schwartz Contractor 377 W 8th Ave, #307, Eugene, OR 97401-2889 2010-04-07
1992983761 Koru LLC Contractor 2775 Friendly St, Eugene, OR 97405-2254 2008-02-04
1932569423 Natsuki Hayashi Contractor 2675 Willamette St, Eugene, OR 97405-3134 2016-02-26
1013318120 Michael Friedman Contractor 190 E 18th Ave, Eugene, OR 97401-4160 2014-09-08
1558693895 Debby M Engeman Contractor 118 Merry Ln, Eugene, OR 97404-2624 2010-02-11
Find all providers in EUGENE

Competitor

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City EUGENE
Zip Code 97408

Improve Information

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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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