MONICA A. SULLIVAN (NPI# 1073885323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073885323 |
| Entity Type | Individual |
| Full Name | MONICA A. SULLIVAN |
| Credential | PA-C |
| Practice Address |
14421 Dupont Ct Omaha NE 68144-2100 |
| Practice Telephone | 4028846400 |
| Mailing Telephone | 4028846400 |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1639 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 91177983213 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6900 A St, Lincoln Orthopaedic Center, PC, Lincoln, NE 685104120 | 4024362000 | 4024362929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639657430 | Monica Sullivan | Physician Assistant | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2018-08-02 |
| 1780108720 | Monica Marie Sullivan | Counselor | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2017-08-01 |
| 1346536364 | Monica Jean Sullivan | Nurse Practitioner | 41 Mall Rd, Lahey Clinic, Burlington, MA 01805-0001 | 2011-06-28 |
| 1023257086 | Monica K Sullivan | Family Medicine | 2156 Chamber Center Dr, Lakeside Park, KY 41017-1669 | 2009-02-16 |
| 1881800720 | Monica Marie Sullivan | Occupational Therapist | 23271 Verdugo Dr, #b, Laguna Hills, CA 92653-1347 | 2007-05-15 |
| Street Address |
14421 DUPONT CT |
| City | OMAHA |
| State | NE |
| Zip Code | 68144-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316042526 | Jennifer A. Smith | Pediatrics | 14421 Dupont Ct, Omaha, NE 68144-2100 | 2006-09-13 |
| 1770002636 | L. Perez De Ponce | Counselor | 14421 Dupont Ct, Omaha, NE 68144-2100 | 2017-09-12 |
| 1043747207 | Nayda Luisa Perez De Ponce | Counselor | 14421 Dupont Ct, Omaha, NE 68144-2100 | 2017-05-18 |
| 1790140556 | Heartland Family First Medical Clinic, LLC | Family Medicine | 14421 Dupont Ct, Omaha, NE 68144-2100 | 2015-12-22 |
| 1215329578 | David M Keller Md PC | Family Medicine | 14421 Dupont Ct, Omaha, NE 68144-2100 | 2015-02-24 |
| 1477687218 | Children's Hospital | Pediatrics | 14421 Dupont Ct, Children's Hospital - Urgent Care - Harvey Oaks, Omaha, NE 68144-2100 | 2007-03-15 |
| 1215099783 | Nancy E. Knowles | Pediatrics | 14421 Dupont Ct, Omaha, NE 68144-2100 | 2006-12-14 |
| 1922103126 | Mary Lou Flearl | Pediatrics | 14421 Dupont Ct, Omaha, NE 68144-2100 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475375 | Patrick Donald Heavey | Physician Assistant | 4660 Pine St, Omaha, NE 68106-2520 | 2020-10-22 |
| 1780297440 | Tayler Marie Llewellyn | Physician Assistant | 17241 Oak Dr, Omaha, NE 68130-2428 | 2020-08-24 |
| 1154933992 | Alexandria Rae Mctaggart | Physician Assistant | 5024 S 130th St, Omaha, NE 68137-1820 | 2020-08-22 |
| 1124651443 | Kathryn A Kesti | Physician Assistant | 4242 Farnam St Ste 500, Omaha, NE 68131-2850 | 2020-02-14 |
| 1760014757 | Timothy Shew | Physician Assistant | 7500 Mercy Rd Ste 1300, Omaha, NE 68124-2319 | 2020-02-07 |
| 1083264303 | Alicia K Clough | Physician Assistant | 15236 Westchester Dr, Omaha, NE 68154-2060 | 2019-09-18 |
| 1669935565 | Taylor Elizabeth Hepp | Physician Assistant | 8005 Farnam Dr Ste 204, Omaha, NE 68114-3426 | 2019-04-09 |
| 1851895924 | Mohammed Saeb Shakir | Physician Assistant | 7306 Ontario St, Omaha, NE 68124-3561 | 2018-03-22 |
| 1386162790 | Anna Jean Sorrell | Physician Assistant | Emile St & S 42nd St, Omaha, NE 68198-4742 | 2017-09-06 |
| 1659804292 | Kaitlyn Ann Boosalis | Physician Assistant | 4331 Mayberry St, Omaha, NE 68105-1711 | 2017-04-11 |
| Find all providers in OMAHA | ||||
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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.