MRS. KATIE O'SULLIVAN (NPI# 1154810984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154810984 |
| Entity Type | Individual |
| Full Name | MRS. KATIE O'SULLIVAN |
| Credential | RDMS |
| Practice Address |
230 Beach 102nd St Ste 2b Rockaway Park NY 11694-2871 |
| Practice Telephone | 3474976200 |
| Mailing Telephone | 3474976200 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | 142396 | NY | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003247347 | Katie Laura O'sullivan | Physical Therapist | 4700 Seton Center Pkwy, Suite 200, Austin, TX 78759-4107 | 2013-12-12 |
| 1902038094 | Katie Lynne O'sullivan | Internal Medicine | 5841 S Maryland Ave, Chicago, IL 60637 | 2009-08-22 |
| Street Address |
230 BEACH 102ND ST STE 2B |
| City | ROCKAWAY PARK |
| State | NY |
| Zip Code | 11694-2871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598269037 | Wave Imaging LLP | Radiology | 230 Beach 102nd St Ste 2b, Rockaway Park, NY 11694-2871 | 2018-03-20 |
| 1912496746 | Kerry-ann Keisha Smith | Technician/Technologist | 230 Beach 102nd St Ste 2b, Rockaway Park, NY 11694-2871 | 2018-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235775941 | Shrok Sayed Elsayed | Physical Therapist | 234 Beach 124th St, Rockaway Park, NY 11694 | 2019-11-18 |
| 1730720699 | Mary Kay A Gibbons | Registered Nurse | 1 Beach 105 Street, 12f, Rockaway Park, NY 11694 | 2019-10-02 |
| 1275026684 | Aba Tree | Behavioral Analyst | 142 B120 Street, Rockaway Street, NY 11694 | 2018-06-11 |
| 1235640855 | Rockaways Asc Development, LLC. | Clinic/Center | 105-20 Rockaway Beach Blvd, Suite 301, Rockaway Park, NY 11694 | 2017-10-23 |
| 1841721479 | Mary Mongelli | Behavioral Analyst | 414 Beach124 Street, Belle Harbor, NY 11694 | 2017-03-24 |
| 1033659495 | Tri Center | Community/Behavioral Health | 2488 Grand Concourse Suite 417, Bronx, NY 11694 | 2017-03-06 |
| 1083079446 | Bernadette Favard | Licensed Practical Nurse | 140 Beach 114street, Promenaden Ursing Home, Rockaway Park, NY 11694 | 2015-12-29 |
| 1801231808 | Matthew Tagliavia | Pharmacist | 449 Beach 129th St, Belle Harbor, NY 11694 | 2013-05-03 |
| 1831445436 | Megan Leigh Hill | Social Worker | 140 Beach 112th St, Rockaway Park, NY 11694 | 2012-08-01 |
| 1710241112 | Scott Blutstein | Specialist | 411 Beach 133 Street, Rockaway Park, NY 11694 | 2012-06-29 |
| Find all providers in zip 11694 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496746 | Kerry-ann Keisha Smith | Technician/Technologist | 230 Beach 102nd St Ste 2b, Rockaway Park, NY 11694-2871 | 2018-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620313 | Retina Labs (usa), Inc. | Technician/Technologist | 165 Broadway - One Liberty Plaza, Suite 2301, New York City, NY 10006 | 2019-10-15 |
| 1184287823 | Tms Wellness Amherst LLC | Technician/Technologist | 8750 Transit Rd Ste 205, East Amherst, NY 14051-2610 | 2019-04-18 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1821598517 | Michele Marie Hunt | Technician/Technologist | 13 Seth Sq, Plattsburgh, NY 12901-1777 | 2018-02-19 |
| 1992204606 | Nicole Nowasell | Technician/Technologist | 83 Yvonne Ave, Cheektowaga, NY 14225-1133 | 2018-02-08 |
| 1194239897 | Michael Shklyar | Technician/Technologist | 1664 President St Apt 4k, Brooklyn, NY 11213-5579 | 2017-11-17 |
| 1295248151 | Pauletta Dickerson | Technician/Technologist | 18009 Jamaica Ave, Jamaica, NY 11432-5620 | 2017-11-13 |
| 1427465814 | Dara Goldrick | Technician/Technologist | 12 Pvt Lovett Ct, Blauvelt, NY 10913-1247 | 2014-07-17 |
| 1437410081 | Brooke A. Jensen | Technician/Technologist | 99305 Hickory Dr, Fort Drum, NY 13603-3416 | 2012-05-30 |
| 1275825481 | Irfan Ahmed | Technician/Technologist | 3857 Kings Hwy Apt 6a, Brooklyn, NY 11234-2920 | 2011-05-05 |
| Find all providers with the same taxonomy | ||||
| City | ROCKAWAY PARK |
| Zip Code | 11694 |
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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.