MRS. DEBORAH LEE SULLIVAN (NPI# 1093950420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093950420 |
| Entity Type | Individual |
| Full Name | MRS. DEBORAH LEE SULLIVAN |
| Credential | ARNP |
| Practice Address |
211 E Logan St Suite 105 Caldwell ID 83605-4882 |
| Mailing Address |
3706 N Stone Creek Way Boise ID 83703-4745 |
| Practice Telephone | 2084540567 |
| Practice Fax Number | 2084026635 |
| Mailing Telephone | 2085143217 |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
NP891 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568950152 | Deborah Hall Sullivan | Registered Nurse | 1000 Sanger Ave, Oceanport, NJ 07757-1241 | 2018-04-29 |
| 1275968927 | Deborah Mae Sullivan | Case Manager/Care Coordinator | 190 Mossy Oak Cir, North Augusta, SC 29841-3093 | 2013-09-12 |
| 1639419633 | Deborah Sullivan | Speech-Language Pathologist | 10140 Sw Paulina Dr, Tualatin, OR 97062-8549 | 2013-02-27 |
| 1972649143 | Deborah C. Sullivan | Dentist | 1200 U.S. Hwy 287 North, Suite 102, Mansfield, TX 76063 | 2007-01-29 |
| 1487643201 | Deborah Ann Sullivan | Genetic Counselor, MS | 182 Colon Ave, Staten Island, NY 10308-1405 | 2005-10-14 |
| 1023018900 | Deborah A Sullivan | Nurse Practitioner | 2139 N Academy Blvd, Colorado Springs, CO 80909-1507 | 2005-07-21 |
| 1730720327 | Deborah Sheryl Sullivan | Psychologist | 1384 Kempsville Rd, Norfolk, VA 23502-2299 | 2019-10-04 |
| 1699236224 | Deborah Katherine Sullivan | Counselor | 40700 California Oaks Rd Ste 202, Murrieta, CA 92562-5789 | 2019-03-27 |
| 1164816716 | Deborah Sullivan | Nurse Practitioner | 41 Mall Rd, Trauma Office 2t53, Burlington, MA 01805-0001 | 2015-03-22 |
| 1053740142 | Deborah Sullivan | Speech-Language Pathologist | 415 6th St, Lewiston, ID 83501-2431 | 2013-11-08 |
| Street Address |
211 E LOGAN ST SUITE 105 |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073596136 | Sean R Weatherston | Physical Therapist | 211 E Logan St, Suite 101, Caldwell, ID 83605-4835 | 2005-11-22 |
| 1891310892 | Sean E Cook | Nurse Practitioner | 211 E Logan St, Caldwell, ID 83605-4882 | 2020-06-15 |
| 1174973374 | David Routt | Counselor | 211 E Logan St, Suite B3, Caldwell, ID 83605-4882 | 2016-06-18 |
| 1821303504 | Nationwide Neuro Health | Psychiatry & Neurology | 211 E Logan St, Suite 105, Caldwell, ID 83605-4882 | 2010-08-18 |
| 1003073560 | Joe Marie Franz Llenos | Family Medicine | 211 E Logan St, Suite 301, Caldwell, ID 83605-4882 | 2008-05-21 |
| 1154517050 | Travis William Palmer | Physical Therapist | 211 E Logan St, Suite 101, Caldwell, ID 83605-4882 | 2007-09-24 |
| 1710013628 | Sharon E. Carswell | Family Medicine | 211 E Logan St, Suite 303, Caldwell, ID 83605-4882 | 2007-02-26 |
| 1235207937 | Brian Richard Trudeau | Physical Therapist | 211 E Logan St, Suite 101, Caldwell, ID 83605-4882 | 2006-12-01 |
| 1063585305 | Idaho Sleep and Neurology Pllc | Specialist | 211 E Logan St, Suite 105, Caldwell, ID 83605-4882 | 2006-11-16 |
| 1134227945 | Wade Harris | Psychiatry & Neurology | 211 E Logan St, Ste 201, Caldwell, ID 83605-4882 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891308094 | Brandon Paul Kruse | Nurse Practitioner | 3345 S Fork Ave, Nampa, ID 83686-4855 | 2020-08-26 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1558986521 | Lisa Kay Stimpson | Nurse Practitioner | 1605 Poen Rd, Kuna, ID 83634-1743 | 2020-06-15 |
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1295372308 | Elizabeth Balleweg | Nurse Practitioner | 2306 N 31st St, Boise, ID 83703-5628 | 2019-12-09 |
| 1891264545 | Tina Monique Bossolono-williams | Nurse Practitioner | 1385 Parkview Dr Ste 101, Twin Falls, ID 83301-4084 | 2018-11-23 |
| 1821525452 | Kristin Meshelle Hofmann | Nurse Practitioner | 420 W Main St Ste 206, Boise, ID 83702-7363 | 2017-05-14 |
| 1992237648 | Candice Elaine Adams | Nurse Practitioner | 5108 N Maidstone Way, Boise, ID 83713-1367 | 2017-03-31 |
| 1851832695 | Penny Rea | Nurse Practitioner | 5307 Green Valley Pl, Nampa, ID 83686-5790 | 2017-03-13 |
| 1891176798 | Christine Cooper | Nurse Practitioner | 35 W Idaho St, Weiser, ID 83672 | 2015-06-16 |
| Find all providers with the same taxonomy | ||||
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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.