DR. GENE SULLIVAN (NPI# 1124472600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124472600 |
| Entity Type | Individual |
| Full Name | DR. GENE SULLIVAN |
| Credential | ND |
| Practice Address |
1908 Amy Ave Santa Rosa CA 95401-4462 |
| Practice Telephone | 7073036804 |
| Mailing Telephone | 7073036804 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 701 | CA | Other Service Providers |
| Street Address |
1908 AMY AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-4462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285246843 | Jeffrey Allen Baker | Naturopath | 4786 Hillsboro Cir, Santa Rosa, CA 95405-8786 | 2020-08-17 |
| 1679916084 | Julie Claire Green | Naturopath | 4778 Holly St, Santa Rosa, CA 95404-9537 | 2013-04-16 |
| 1174877500 | Kelley Renee Barnes-valdes | Naturopath | 6119 Old Redwood Hwy Ste F, Santa Rosa, CA 95403-1124 | 2012-11-07 |
| 1013261759 | Shannon G Hudson | Naturopath | 1160 N Dutton Ave Ste 250, Santa Rosa, CA 95401-4658 | 2012-11-02 |
| 1033463740 | La Deana L Jeane | Naturopath | 1160 N Dutton Ave Ste 260, Santa Rosa, CA 95401-4671 | 2012-11-01 |
| 1366761413 | Justin N Hoffman | Naturopath | 2230 Professional Dr Ste C, Santa Rosa, CA 95403-3028 | 2010-05-27 |
| 1467511394 | Jane Rattanavilay | Naturopath | 1521 4th St Ste A, Santa Rosa, CA 95404-4017 | 2006-12-06 |
| 1922624113 | Andrea Mazzola | Naturopath | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2020-06-23 |
| 1053944132 | Valerie Schur | Naturopath | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 | 2020-02-18 |
| 1538667506 | Amy Cahoy | Naturopath | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 | 2018-01-24 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
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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.