MRS. TARA MARIE SULLIVAN (NPI# 1205199601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205199601 |
| Entity Type | Individual |
| Full Name | MRS. TARA MARIE SULLIVAN |
| Other Name | MRS. TARA MARIE STAVRIANEAS |
| Practice Address |
14911 12th Ave Whitestone NY 11357-1725 |
| Practice Telephone | 5165762040 |
| Mailing Telephone | 5165762040 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1718799 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841814456 | Tara Roberta Sullivan | Registered Nurse | 24808 Boston St, Dearborn, MI 48124-4411 | 2020-05-31 |
| 1023202363 | Tara Marie Sullivan | Dentist | 1203 E Pine St, Seattle, WA 98122-3921 | 2007-08-29 |
| 1518410133 | Tara L. Sullivan | Optometrist | 245 Center St, Auburn, ME 04210-6169 | 2016-07-31 |
| 1902853104 | Tara Sullivan | Anesthesiology | 6501 Coyle Ave, Carmichael, CA 95608 | 2006-05-31 |
| Street Address |
14911 12TH AVE |
| City | WHITESTONE |
| State | NY |
| Zip Code | 11357-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695438 | Christina Alvarez | Physician Assistant | 14704 8th Avenue, Whitestone, NY 11357 | 2020-10-06 |
| 1265047559 | Caitlin M Burke | Speech-Language Pathologist | 12-10 150th St, Whitestone, NY 11357 | 2020-09-13 |
| 1013548007 | Christina Nichole De Vito | Student in an Organized Health Care Education/Training Program | 15-50 14th Road, Whitestone, NY 11357 | 2020-01-29 |
| 1669956876 | Core Physical Therapy of Queens PC | Physical Therapist | 150-47b 14th Ave, Whitestone, NY 11357 | 2018-09-24 |
| 1356832307 | Nerlande A Hjardemaal | Registered Nurse | 14201 20th Ave, Flushing, NY 11357 | 2018-05-25 |
| 1114443504 | Dorothya O Thompson | Case Manager/Care Coordinator | 152-53 10th Ave, Whitestone, NY 11357 | 2017-08-17 |
| 1124540794 | Gaelle Anta Fall-koffi | Case Manager/Care Coordinator | 152-53, 10th Avenue, Suite 201, Whitestone, NY 11357 | 2017-07-14 |
| 1841729209 | Charlene Underwood | Case Management | 152-53-10th Ave, Whitestone, NY 11357 | 2017-06-08 |
| 1356880892 | Lindsay Ingenito | Student in an Organized Health Care Education/Training Program | 14203 20th Ave, Flushing, NY 11357 | 2017-02-16 |
| 1952756389 | Whiyie Alfonso Sang | Student in an Organized Health Care Education/Training Program | 154-65 10th Ave, New York, NY 11357 | 2016-05-04 |
| Find all providers in zip 11357 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003384371 | Jacqueline Rose Loiacono | Specialist | 15737 9th Ave, Whitestone, NY 11357-1317 | 2018-11-05 |
| 1265919682 | Iliana Gutierrez | Specialist | 16314 Willets Point Blvd, Whitestone, NY 11357-3344 | 2018-07-27 |
| 1104354919 | Yim Yeung | Specialist | 14550 23rd Ave, Whitestone, NY 11357-3408 | 2017-05-24 |
| 1619403524 | Manal Ayad | Specialist | 2130 150th St, Whitestone, NY 11357-3628 | 2017-05-11 |
| 1356706717 | Sophia Kavallaris | Specialist | 15022 16th Rd, Whitestone, NY 11357-3118 | 2015-12-29 |
| 1972912046 | Angela Papadatou | Specialist | 1537 150th Pl, Whitestone, NY 11357-2618 | 2014-08-03 |
| 1679985717 | Mary E Romano | Specialist | 2120 154th St, Whitestone, NY 11357-3832 | 2014-05-23 |
| 1780004614 | Kim Bacci | Specialist | 1630 166th St, Whitestone, NY 11357-3333 | 2014-04-18 |
| 1952722282 | Hae Kyung Park | Specialist | 2312 144th St, 2nd Floor, Whitestone, NY 11357-3434 | 2014-01-06 |
| 1164850855 | Samantha Merino | Specialist | 14316 21st Rd, Whitestone, NY 11357-3420 | 2013-10-16 |
| Find all providers in WHITESTONE | ||||
| City | WHITESTONE |
| Zip Code | 11357 |
Please comment or provide details below to improve the information on MRS. TARA MARIE SULLIVAN.
| 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.