JUDITH A SULLIVAN (NPI# 1144264748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144264748 |
| Entity Type | Individual |
| Full Name | JUDITH A SULLIVAN |
| Credential | NP |
| Practice Address |
170 Alameda De Las Pulgas Redwood Pulmonary Medical Assoc. Redwood City CA 94062 |
| Mailing Address |
1532 Whipple Ave Redwood City CA 94062-1640 |
| Practice Telephone | 6503675636 |
| Practice Fax Number | 6503675110 |
| Mailing Telephone | 6503675636 |
| Mailing Fax Number | 6503675110 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP11141 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659401347 | Judith Ann Sullivan | Licensed Vocational Nurse | 2453 Morgan Ave, Bronx, NY 10469-5705 | 2007-03-06 |
| 1417000951 | Judith Sullivan | Nurse Practitioner | Mass General Hospital Racu Bigelow 9, Fruit St, Boston, MA 02114 | 2007-01-19 |
| 1083880181 | Judith Eileen Sullivan | Clinical Nurse Specialist | 223 W State St, Boise, ID 83702-6013 | 2008-05-08 |
| Street Address |
170 ALAMEDA DE LAS PULGAS REDWOOD PULMONARY MEDICAL ASSOC. |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013910777 | Melissa Susann Lim | Specialist | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2005-05-24 |
| 1972113397 | Jason James Kalaw | Perfusionist | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2020-08-01 |
| 1891353132 | Prajoel Karki | Pharmacist | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2019-06-02 |
| 1174000533 | Vituity Hospitalists PC | Internal Medicine | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2018-07-27 |
| 1629585583 | Ari Auwinitzky | Perfusionist | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2018-01-02 |
| 1013445675 | Clifton James Marschel | Perfusionist | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2017-05-26 |
| 1154856227 | Jessica Shu Wen Cheung | Nurse Practitioner | 170 Alameda De Las Pulgas, Redwood City, CA 94062 | 2017-04-26 |
| 1609312271 | Susan Daines | Occupational Therapist | 170 Alameda De Las Pulgas, Redwood City, CA 94062-2751 | 2017-01-06 |
| 1801281795 | Sarah Abuseif | Internal Medicine | 170 Alameda De Las Pulgas, Redwood City, CA 94062 | 2015-03-30 |
| 1205172053 | Gretchen Denike Irion | Pharmacist | 170 Alameda De Las Pulgas, Pharmacy Department, Redwood City, CA 94062-2751 | 2012-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063051803 | Birch Clinic Corporation | Acupuncturist | 39b Birch St, Redwood City, CA 94062 | 2019-12-26 |
| 1376084459 | Sneha Kadkol | Physical Therapist | 2944 Broadway Street, Redwood City, CA 94062 | 2017-03-09 |
| 1376081166 | B. Annye Rothenberg | Psychologist | 3943 Jefferson Ave., Emerald Hills, CA 94062 | 2017-02-01 |
| 1922410406 | Sheree Campbell | Psychologist | 40a Corto Ln, Woodside, CA 94062 | 2014-06-02 |
| 1902188832 | Delmar J Smith | Physician Assistant | 2900 Whipple Ave Ste 132, Redwood City, CA 94062 | 2011-09-16 |
| 1902192974 | Mariana Garcia | Counselor | 500 Allerton Street, Redwood City, CA 94062 | 2011-06-28 |
| 1386938264 | Julie Freschi | Physical Therapist | 3674 Sand Hill Rd, Woodside, CA 94062 | 2011-06-08 |
| 1669763702 | Jacqueline M Phillips | Pediatrics | 2979 Woodside Road, Woodside, CA 94062 | 2011-04-24 |
| 1396041208 | Arch Street Medical Associates | General Practice | 143 Birch Street, Redwood City, CA 94062 | 2011-02-10 |
| 1174843916 | Priyasheelta Nand | Internal Medicine | 2950 Whipple Avenue, Suite 3, Redwood City, CA 94062 | 2010-06-03 |
| Find all providers in zip 94062 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609316736 | Justine Nicole Dela Cruz | Nurse Practitioner | 420 Broadway St # D, Redwood City, CA 94063 | 2017-03-08 |
| 1790904738 | Maria G. Arellano | Nurse Practitioner | 2907 El Camino Real, Redwood City, CA 94061-4003 | 2007-04-25 |
| 1427684166 | Astha Shrestha | Nurse Practitioner | 1513 Mitchell Way, Redwood City, CA 94061-2449 | 2020-03-13 |
| 1578005138 | Kelli Nicole Jew | Nurse Practitioner | 450 Broadway St, Pavillion A Fl 1 Mc 6110, Redwood City, CA 94063-3132 | 2016-11-14 |
| 1467878819 | Darcy Lee Pratt | Nurse Practitioner | 450 Broadway St, Mc 5730, Redwood City, CA 94063-3132 | 2014-03-10 |
| 1912343328 | Marina Zyskina | Nurse Practitioner | 363 Main St, Suite C, Redwood City, CA 94063-1729 | 2013-05-13 |
| 1043655483 | Melissa E Hastings | Nurse Practitioner | 450 Broadway St, Pavilion A, Mc 6110, Redwood City, CA 94063-3132 | 2013-04-29 |
| 1184900870 | Veena Jagajeevan | Nurse Practitioner | 450 Broadway St, Mc 6110, Redwood City, CA 94063-3132 | 2011-10-26 |
| 1801170725 | Tessa A Lannoy | Nurse Practitioner | 2900 Whipple Ave, Suite 130, Redwood City, CA 94062-2843 | 2011-10-11 |
| 1326360827 | Janheen Trias Pascual | Nurse Practitioner | 450 Broadway St, Pavilion A, Redwood City, CA 94063-3132 | 2010-02-24 |
| Find all providers in REDWOOD CITY | ||||
| City | REDWOOD CITY |
| Zip Code | 94062 |
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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.