MS. CYNTHIA E. SULLIVAN


Address: 205 E Nasa Blvd, Melbourne, FL 32901-1950
Phone: 3217239175

MS. CYNTHIA E. SULLIVAN (NPI# 1093034282) 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) 1093034282
Entity Type Individual
Full Name MS. CYNTHIA E. SULLIVAN
Credential CRNP
Practice Address 205 E Nasa Blvd
Melbourne
FL 32901-1950
Mailing Address 3466 N Harbor City Blvd
Credentials Dept
Melbourne
FL 32935-5713
Practice Telephone 3217239175
Practice Fax Number 3217271448
Mailing Telephone 3214341982
Mailing Fax Number 3217271448
Enumeration Date 2010-05-27
Last Update Date 2016-11-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner ARNP9435061 FL Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner SP010858 PA Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner RN511047L PA Physician Assistants & Advanced Practice Nursing Providers
N 364SF0001X Clinical Nurse Specialist
Specialization: Family Health
ARNP9435061 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers CYNTHIA SULLIVAN

NPI Name Taxonomy Address Enumeration
1427508811 Cynthia Ann Sullivan Counselor 1019 E. Water Street, Elmira, NY 14901 2016-10-10
1801903000 Cynthia Luck Sullivan Clinical Neuropsychologist 3020 Hamaker Ct Ste 103, Fairfax, VA 22031-2220 2006-08-24
1194889683 Cynthia A Sullivan Registered Nurse 408 Bethel Rd, Bldg B Suite 2, Somers Point, NJ 08244-2172 2006-12-20

Office Location

Street Address 205 E NASA BLVD
City MELBOURNE
State FL
Zip Code 32901-1950

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467445031 Anthony J. Barile Internal Medicine 205 E Nasa Blvd, Suite 200, Melbourne, FL 32901 2005-08-29
1518508001 Nikki Ploetz Physician Assistant 205 E Nasa Blvd, Melbourne, FL 32901-1950 2019-10-05
1942523600 Kendra M Ruckman Physician Assistant 205 E Nasa Blvd, Melbourne, FL 32901-1950 2010-03-10
1326278110 Brent Stephens Orthopaedic Surgery 205 E Nasa Blvd, Melbourne, FL 32901-1950 2009-07-15
1518120344 Lilia K Vinarsky Physical Medicine & Rehabilitation 205 E Nasa Blvd, Melbourne, FL 32901-1950 2008-07-02
1336238898 Albert Esmailzadeh Pain Medicine 205 E Nasa Blvd, Suite 200, Melbourne, FL 32901-1950 2006-10-12
1841213105 Susan Marie Glatter Nurse Practitioner 205 E Nasa Blvd, Melbourne, FL 32901-1950 2006-07-26
1598731200 Elena V Barnes Internal Medicine 205 E Nasa Blvd, Melbourne, FL 32901-1950 2006-02-23
1679558720 Edward W St. Mary Orthopaedic Surgery 205 E Nasa Blvd, Melbourne, FL 32901-1950 2005-12-13
1326022427 Sukanya Pachaidee Internal Medicine 205 E Nasa Blvd, Suite 200, Melbourne, FL 32901-1950 2005-12-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467062943 George Pappas Anesthesiologist Assistant 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 2020-08-09
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
1740766021 Amanda Miller Behavior Technician 1885 W Hibiscus Blvd, Melbourne, FL 32901 2018-07-19
1396244406 Dragen II LLC Urology 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 2018-02-03
1225550692 Cabrit Psychotherapy Services LLC Marriage & Family Therapist 100 Rialto Place, Suite 700, Melbourne, FL 32901 2017-07-07
1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
1467804278 Nickolas Hetherington Occupational Therapist 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 2016-07-05
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871105411 Nina Teresa Solar Nurse Practitioner 129 W Hibiscus Blvd Ste A, Melbourne, FL 32901-3006 2020-08-17
1629686415 Johanna B Pillado Nurse Practitioner 1800 Brookshire Cir, Melbourne, FL 32904-6670 2020-07-17
1659900181 Lindsay Hayes Nurse Practitioner 1681 Wekiva Dr, Melbourne, FL 32940-6986 2020-04-06
1548808439 Robert Mathew Johnson Nurse Practitioner 4898 Erin Ln, Melbourne, FL 32940-7156 2019-12-11
1619533940 Jessica Nicole Bartlett Nurse Practitioner 3021 W Eau Gallie Blvd Ste 102, Melbourne, FL 32934-7005 2019-05-13
1811476450 Ashley Ricks Hampton Nurse Practitioner 1070 Cayman Dr, Melbourne, FL 32901-8645 2018-08-13
1245752070 Morgan Brittany Shirley Nurse Practitioner 1019 E. Main St., Melbourne, AR 72556 2017-07-13
1386173649 M Shami Nurse Practitioner 401 N Wickham Rd. Suite S, Melbourne, FL 32935 2017-06-08
1699058263 Deborah Susan Coon Nurse Practitioner 1223 Gateway Dr Ste 1f, Melbourne, FL 32901-2607 2011-09-21
1043509300 Elizabeth Marie Ambrose Nurse Practitioner 1223 Gateway Drivie, Suite 1c, Melbourne, FL 32901-2607 2011-04-06
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City MELBOURNE
Zip Code 32901

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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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