MEGHAN SULLIVAN (NPI# 1083268601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083268601 |
| Entity Type | Individual |
| Full Name | MEGHAN SULLIVAN |
| Credential | RD |
| Practice Address |
56 Franklin St Waterbury CT 06706-1253 |
| Mailing Address |
182 Munson Rd Middlebury CT 06762-1319 |
| Practice Telephone | 2037093255 |
| Mailing Telephone | 8603873794 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437633104 | Meghan Sullivan | Counselor | 6515 Hot Springs Way Apt B, Indianapolis, IN 46217-5238 | 2018-09-19 |
| 1487160586 | Meghan Doepke Sullivan | Nurse Practitioner | 1030 N Clark St Ste 400, Chicago, IL 60610-5468 | 2017-12-27 |
| 1699386771 | Meghan Nicole Sullivan | Physical Therapy Assistant | 301 Camino Gardens Blvd Ste 104, Boca Raton, FL 33432-5823 | 2020-08-12 |
| 1295378107 | Meghan Sullivan | Behavior Technician | 5943 Stadium Dr, Kalamazoo, MI 49009-3016 | 2019-10-23 |
| 1639721590 | Meghan Marie Sullivan | Nurse Practitioner | 95 Sargent St, Belchertown, MA 01007-9881 | 2019-07-11 |
| 1174031462 | Meghan Kearns Sullivan | Nurse Practitioner | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2018-01-20 |
| 1720450588 | Meghan Sullivan | Psychologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2015-10-20 |
| 1205222841 | Meghan Elizabeth Sullivan | Specialist/Technologist | 1000 Hilltop Cir, Rac 221, Baltimore, MD 21250-0001 | 2015-04-10 |
| 1740694074 | Meghan Sullivan | Nurse Practitioner | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2014-06-14 |
| 1316357098 | Meghan F Sullivan | Social Worker | 300 Longwood Ave, Farley 1, Boston, MA 02115-5724 | 2014-05-02 |
| Street Address |
56 FRANKLIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06706-1253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929379 | Scovill Medical Group, PC | Internal Medicine | 56 Franklin St, Waterbury, CT 06706-1221 | 2005-06-01 |
| 1528676459 | Kate Marie Breiner | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-07-16 |
| 1417575192 | Muhammad Tasawar Latif | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-07-09 |
| 1013534148 | Syed Mustajab Ahmed | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-07-06 |
| 1558989681 | Brooj Awan | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-07-06 |
| 1699398438 | Michelle Lauren Yeung | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-05-27 |
| 1841810967 | Diana Shapoval | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-04-18 |
| 1235768649 | Sean Michael Burgwardt | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-04-07 |
| 1043849326 | Miguel Angel Bravo Jr. | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-04-07 |
| 1053948430 | Bhavya Vemuri | Student in an Organized Health Care Education/Training Program | 56 Franklin St, Waterbury, CT 06706-1253 | 2020-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245750538 | Sameerah Ibtisam Rehmani | Internal Medicine | St Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706 | 2017-06-27 |
| 1417208448 | Sherry L Gatling | Durable Medical Equipment & Medical Supplies | 394 Mill Street, 2nd Flr N, Waterbury, CT 06706 | 2012-10-01 |
| 1144505538 | Amanda Maria Delcavo | Physician Assistant | 50 Franklin Street, Waterbury, CT 06706 | 2011-10-17 |
| 1508097031 | Lauren K Ayr-volta | Clinical Neuropsychologist | 133 Scovill Street, Suite 211, Waterbury, CT 06706 | 2009-07-31 |
| 1538206800 | John Chardavoyne | Psychiatry & Neurology | Waterbury Outpatient Clinic, 95 Scovill Street, Waterbury, CT 06706 | 2007-01-30 |
| 1922111632 | Thomas Owen Genese | Internal Medicine | 56 Franklin Street, St. Mary's Hospital - Dept of Medicine, Waterbury, CT 06706 | 2006-08-16 |
| 1013942465 | Nancy Lou Kline | Nurse Practitioner | 133 Scovill Street-waterbury Va Community Based Clinic, #203, Waterbury, CT 06706 | 2006-07-12 |
| 1366823783 | Yamini Sachan | Internal Medicine | 56 Franklin Street, Waterbury, CT 06706 | 2015-06-11 |
| 1962881896 | Daniyal Ahmed Ansari | Internal Medicine | 56 Franklin Street, Saint Mary's Hospital, Waterbury, CT 06706 | 2015-05-26 |
| 1164809885 | Vanessa N. Goyes Ruiz | Student in an Organized Health Care Education/Training Program | 56 Franklin Street, Waterbury, CT 06706 | 2015-05-01 |
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| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669439 | Jacquelyn Bucci | Dietitian, Registered | 56 Franklin St, Waterbury, CT 06706-1253 | 2019-09-26 |
| 1639628647 | Taylor Buzinsky | Dietitian, Registered | 133 Scovill St, Suite 304, Waterbury, CT 06706-1127 | 2016-10-03 |
| 1992153332 | Madison Fisher | Dietitian, Registered | 56 Franklin St, Waterbury, CT 06706-1253 | 2016-05-26 |
| 1730571597 | Nowen Beebe | Dietitian, Registered | 56 Franklin St, Waterbury, CT 06706-1253 | 2015-03-03 |
| 1619284528 | Carolyn M. Losure | Dietitian, Registered | 500 Chase Pkwy, Waterbury, CT 06708-3346 | 2010-09-13 |
| 1598886079 | Christine Riley | Dietitian, Registered | 56 Franklin St, Waterbury, CT 06706-1221 | 2007-04-03 |
| 1639290018 | Carol Buccino | Dietitian, Registered | 56 Franklin St, Waterbury, CT 06706-1221 | 2007-04-03 |
| 1972621514 | Marguerite Garcia Brainerd | Dietitian, Registered | 64 Robbins St, Waterbury, CT 06708-2613 | 2007-03-26 |
| 1356386908 | Margaret Csuka Picard | Dietitian, Registered | 64 Robbins St, Waterbury, CT 06708-2613 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750882 | Lauren M Bush | Dietitian, Registered | 45 S Main St Ste 202, West Hartford, CT 06107-2402 | 2020-11-03 |
| 1528675972 | Kathryn Posillico | Dietitian, Registered | 29 Parker Ave, Stamford, CT 06906-1713 | 2020-09-29 |
| 1013524826 | Nicole Nyerick | Dietitian, Registered | 42 Willow Ct, Southington, CT 06489-3344 | 2020-09-25 |
| 1982211900 | Beth Saman | Dietitian, Registered | 150 Burwell Rd, New Hartford, CT 06057-4111 | 2020-09-24 |
| 1659985307 | Kathryn Balone | Dietitian, Registered | 23 Henry St Apt C, Greenwich, CT 06830-5809 | 2020-09-01 |
| 1952914301 | Louisa O'grady | Dietitian, Registered | 7 Beacon Hill Ter, Shelton, CT 06484-5905 | 2020-08-26 |
| 1245842228 | Hannah Yoo | Dietitian, Registered | 24 Old Farms Xing, Avon, CT 06001-2245 | 2020-08-20 |
| 1922619618 | Amy L Rapone | Dietitian, Registered | 67 Old Post Rd, Tolland, CT 06084-3342 | 2020-08-14 |
| 1700496361 | Cristina Gonzalez | Dietitian, Registered | 83 Morgan St Apt 5j, Stamford, CT 06905-5405 | 2020-08-07 |
| 1568071645 | Jillian Anastasia Wanik | Dietitian, Registered | 48 Sunnyledge St, New Britain, CT 06052-1604 | 2020-07-24 |
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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.