KALLEE SULLIVAN (NPI# 1205293560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205293560 |
| Entity Type | Individual |
| Full Name | KALLEE SULLIVAN |
| Credential | PA-C |
| Practice Address |
330 Center St Jupiter FL 33458-4317 |
| Practice Telephone | 5616939040 |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
330 CENTER ST |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-4317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1538580451 | Kathryn Marie Goggins | Physician Assistant | 4601 Military Trl Ste 203, Jupiter, FL 33458-4835 | 2013-12-18 |
| 1215363023 | Sofia Noohani Kohn | Physician Assistant | 5430 Military Trl Ste 64, Jupiter, FL 33458-2873 | 2013-09-25 |
| 1336477579 | Kathryn Leigh Hofheinz | Physician Assistant | 500 University Blvd Ste 208, Jupiter, FL 33458 | 2009-11-30 |
| 1891915518 | Denise Marie Seely | Physician Assistant | 2141 Alternate A1asouth, Suite 130, Jupiter, FL 33477 | 2007-04-26 |
| 1770565152 | Adrienne Cay Parlette Guinan | Physician Assistant | 2141 S. Highway A1a Atl, Suite 420, Jupiter, FL 33477-4063 | 2005-11-18 |
| 1538703491 | Briana Beth Minich | Physician Assistant | 1335 W Indiantown Rd, Jupiter, FL 33458-4631 | 2019-11-04 |
| 1003450016 | Kevin Tyler Shope | Physician Assistant | 5430 Military Trl Ste 64, Jupiter, FL 33458-2873 | 2019-11-01 |
| 1780235648 | Kristen Elizabeth Stilley | Physician Assistant | 2141 S Alternate A1a Ste 420, Jupiter, FL 33477-4063 | 2019-09-23 |
| 1568997989 | Nirali Dhruvang Patel | Physician Assistant | 500 University Blvd, Jupiter, FL 33458-2773 | 2017-04-23 |
| Find all providers in JUPITER | ||||
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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.