DR. JOAN SULLIVAN (NPI# 1144372970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144372970 |
Entity Type | Individual |
Full Name | DR. JOAN SULLIVAN |
Credential | M.D. |
Practice Address |
9010 Fitzsimmons Ave A Madigan Army Medical Center Tacoma WA 98431-0001 |
Mailing Address |
3115 N Cedar St Tacoma WA 98407-6445 |
Practice Telephone | 2539683121 |
Mailing Telephone | 2537569527 |
Enumeration Date | 2007-01-18 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171W00000X | Contractor | MD00024273 | WA | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205258498 | Joan E Sullivan | Pharmacist | 5918 Stoneridge Mall Road, Pleasanton, CA 94588 | 2014-01-08 |
1487656278 | Joan E Sullivan | Nurse Practitioner | 95 Soldiers Pass Rd, Suite A-2, Sedona, AZ 86336-4781 | 2005-08-11 |
1346240223 | Joan M Sullivan | Legal Medicine | 20 Arrowood Dr, Ithaca, NY 14850-1857 | 2005-07-21 |
1417393901 | Joan Marie Sullivan | Pharmacist | 2101 E Jefferson St, Rockville, MD 20852-4908 | 2013-05-11 |
1710007729 | Joan Marie Sullivan | Religious Nonmedical Nursing Personnel | 7559 263rd St, Glen Oaks, NY 11004-1150 | 2007-03-31 |
1689704728 | Joan M Sullivan | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2007-03-07 |
1851445373 | Joan Grant Sullivan | Psychiatry & Neurology | 1749 Martin Luther King Jr Way, Berkeley, CA 94709-2139 | 2007-01-22 |
1043393150 | Joan M Sullivan | Physician Assistant | 1675 Leahy St, Suite 401a, Muskegon, MI 49442-5500 | 2006-10-23 |
1164496931 | Joan Lucille Sullivan | Occupational Therapist | 503 Grasslands Rd, Suite 105, Valhalla, NY 10595-1503 | 2006-02-16 |
Street Address |
9010 FITZSIMMONS AVE A MADIGAN ARMY MEDICAL CENTER |
City | TACOMA |
State | WA |
Zip Code | 98431-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
Find all providers in zip 98431 |
Taxonomy Code | 171W00000X |
Grouping | Other Service Providers |
Classification | Contractor |
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376158410 | Luan Kim Do | Contractor | 1832 Pointe Woodworth Dr Ne, Tacoma, WA 98422-3466 | 2020-09-15 |
1497284434 | Nessley Care, LLC | Contractor | 1931 S Ainsworth Ave, Tacoma, WA 98405-3108 | 2017-06-04 |
1003052325 | Melanie Aleisa Batty | Contractor | 5849 Tacoma Mall Blvd, Suite E, Tacoma, WA 98409-6905 | 2008-12-17 |
1316192057 | Tanna A Scriven | Contractor | 4822 S M St, Tacoma, WA 98408-3505 | 2008-11-21 |
1356543581 | Kathi D Johnson | Contractor | 1720 S 72nd St Ste 102, Tacoma, WA 98408-1297 | 2007-06-01 |
1427270156 | Janie Marie Miller | Contractor | 1015 Pacific Ave, Tacoma, WA 98402-4412 | 2007-05-03 |
1679665038 | Sara Jean Cerda | Contractor | 13819 Pacific Ave S, Tacoma, WA 98444-4633 | 2006-09-29 |
1609128453 | Myra J Kurtz | Contractor | 3315 S 23rd St, Ste 210, Tacoma, WA 98405-1605 | 2012-10-03 |
1184995417 | Meghan Michelle Ellis | Contractor | 3819 6th Ave, Tacoma, WA 98406-4903 | 2012-01-18 |
1215173695 | Theresa Ann Ehnat | Contractor | 1206 S 11th St, #15 A, Tacoma, WA 98405-4091 | 2009-01-06 |
Find all providers in TACOMA |
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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.