MS. LISA MEGHAN SULLIVAN (NPI# 1083874127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083874127 |
| Entity Type | Individual |
| Full Name | MS. LISA MEGHAN SULLIVAN |
| Credential | M.T. |
| Practice Address |
1640 Selby Ave Apt 6 Saint Paul MN 55104-7379 |
| Practice Telephone | 6516996571 |
| Mailing Telephone | 6516996571 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285282459 | Lisa Sullivan | Behavior Technician | 719 N Hillview Dr, Boise, ID 83712-8122 | 2019-08-29 |
| 1184183550 | Lisa Sullivan | Contractor | 113 Constitution Ct Apt A, Albany, GA 31721-2150 | 2019-03-15 |
| 1366875197 | Lisa Sullivan | Counselor | 3740 Colony Dr Ste 260, San Antonio, TX 78230-2233 | 2013-08-15 |
| 1336486414 | Lisa Marie Sullivan | Social Worker | 18 Rose Pl, Selden, NY 11784-3122 | 2013-01-10 |
| 1144579418 | Lisa Sullivan | Specialist | 252 California Ct, Mission Viejo, CA 92692-4098 | 2012-09-02 |
| 1811205750 | Lisa Renee Sullivan | Physician Assistant | 44305 Harmony Ln, Belleville, MI 48111-2449 | 2010-09-14 |
| 1700014065 | Lisa Hadeler Sullivan | Physical Therapist | 1420 Hwy 36, Hazlet, NJ 07730-1736 | 2009-06-25 |
| 1841380375 | Lisa C. Sullivan | Pediatrics | 4950 Se Roethe Rd, Milwaukie, OR 97267-5746 | 2006-10-13 |
| 1386650273 | Lisa Marie Sullivan | Allergy & Immunology | 737 Saint Johns Ave, Highland Park, IL 60035-4650 | 2006-07-31 |
| 1023059813 | Lisa Hope Sullivan | Physical Therapist | 15 Neil Ct, Inside Jcc, Oceanside, NY 11572-5815 | 2006-06-10 |
| Street Address |
1640 SELBY AVE APT 6 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-7379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859467 | Amdemichael Retta | Massage Therapist | 1260 Larpenteur Ave W Apt 320, Saint Paul, MN 55113-6324 | 2020-10-21 |
| 1285247932 | Root and Branch LLC | Massage Therapist | 965 Payne Ave, Saint Paul, MN 55130-4194 | 2020-08-24 |
| 1740837855 | Paulette M Wisnom | Massage Therapist | 600 University Ave W Ste 10, Saint Paul, MN 55103-1939 | 2019-08-22 |
| 1942766068 | Katrina Jean Cordes | Massage Therapist | 2550 University Ave W # 244south, Saint Paul, MN 55114-1052 | 2019-02-13 |
| 1649746199 | Peter Cairns | Massage Therapist | 1894 Summit Ave, Saint Paul, MN 55105-1427 | 2018-10-22 |
| 1801391941 | Center for Integrative Massage, LLC | Massage Therapist | 1053 Grand Ave Ste 113, Saint Paul, MN 55105-3074 | 2018-03-29 |
| 1699215319 | Ryan M Herst | Massage Therapist | 1445 Jessamine Ave W, Apt 307, Saint Paul, MN 55108-2684 | 2017-02-28 |
| 1669911913 | Amy Yang | Massage Therapist | 78 Magnolia Ave West, Saint Paul, MN 55117-4913 | 2017-02-20 |
| 1831555663 | April Aegerter | Massage Therapist | 764 Lexington Pkwy N, Saint Paul, MN 55104-1435 | 2016-01-09 |
| 1124423314 | Julie Hartmans | Massage Therapist | 693 Wilson Ave Apt 3, Saint Paul, MN 55106-6638 | 2014-10-30 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on MS. LISA MEGHAN 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.