TIMOTHY W SULLIVAN (NPI# 1215585542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215585542 |
| Entity Type | Individual |
| Full Name | TIMOTHY W SULLIVAN |
| Practice Address |
9 S Dayton St Kennewick WA 99336-3843 |
| Mailing Address |
9 N Waverly Pl Apt 303 Kennewick WA 99336-3270 |
| Practice Telephone | 5099475661 |
| Mailing Telephone | 5099475661 |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024792 | Timothy Sullivan | Specialist/Technologist | 601 E Elm St Apt 1203, Troy, AL 36081-3498 | 2020-08-24 |
| 1215585112 | Timothy Sullivan II | Massage Therapist | 318 E Maiden St, Washington, PA 15301-5108 | 2019-09-04 |
| 1972954675 | Timothy Sullivan | Technician/Technologist | 38 Thatcher St, Rumford, RI 02916-2714 | 2016-06-24 |
| 1982019840 | Timothy Paul Sullivan | Chiropractor | 17000 E Us Highway 40 Ste 7, Independence, MO 64055-5394 | 2014-06-30 |
| 1306110176 | Timothy Coleman Sullivan | Behavioral Analyst | 7291 Garden Grove Blvd, Suite F, Garden Grove, CA 92841-4211 | 2012-02-26 |
| 1235452343 | Timothy Sullivan | Pharmacist | 336 Route 202, Somers, NY 10589-3220 | 2010-03-03 |
| 1619152915 | Timothy Mark Sullivan | Physician Assistant | 9951 E El Moro Ave, Mesa, AZ 85208-5869 | 2008-01-04 |
| 1396819215 | Timothy P Sullivan | Dentist | 370 W Terra Cotta Ave, Crystal Lake, IL 60014-3512 | 2006-11-20 |
| 1154408011 | Timothy Patrick Sullivan | Otolaryngology | 19 N Rivers Edge Dr, Little Silver, NJ 07739-1710 | 2006-10-31 |
| 1881786226 | Timothy Joseph Sullivan | Pediatrics | 92 New London Tpke, Norwich, CT 06360 | 2006-09-29 |
| Street Address |
9 S DAYTON ST |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99336-3843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003370438 | Impact Compassion Center | Counselor | 9 S Dayton St, Kennewick, WA 99336-3843 | 2019-01-30 |
| 1922634245 | Kimberly Wright-whittam | Social Worker | 9 S Dayton St, Kennewick, WA 99336-3843 | 2020-03-18 |
| 1952942831 | Millie Baldwin | Counselor | 9 S Dayton St, Kennewick, WA 99336-3843 | 2019-10-02 |
| 1780239012 | Shasta C Meyers | Community Health Worker | 9 S Dayton St, Kennewick, WA 99336-3843 | 2019-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
| 1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
| 1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
| 1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
| 1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
| 1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
| 1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
| 1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
| Find all providers in zip 99336 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629204649 | Kenneth Robert Lewis | Case Manager/Care Coordinator | 9412 W 5th Pl, Kennewick, WA 99336-9603 | 2009-06-04 |
| 1730351271 | Laura B Douglas | Case Manager/Care Coordinator | 7101 West Hood Pl Suite 102, Kennewick, WA 99336 | 2008-03-25 |
| 1023215266 | William Jeffery Deatherage I | Case Manager/Care Coordinator | 6725 W Clearwater Ave, Ste B, Kennewick, WA 99336-1724 | 2007-06-29 |
| 1679041594 | Tina Marie Perez-colgan | Case Manager/Care Coordinator | 3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968 | 2018-11-08 |
| 1184192460 | Amy Lynn Redmond | Case Manager/Care Coordinator | 3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968 | 2018-11-05 |
| 1972070456 | Jacqueline Contreras | Case Manager/Care Coordinator | 3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968 | 2018-11-01 |
| 1184191983 | Lauren Marie Roberts | Case Manager/Care Coordinator | 3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968 | 2018-10-30 |
| 1265909675 | Hilary Arnzen | Case Manager/Care Coordinator | 3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968 | 2018-10-24 |
| 1265908800 | Aimee Calderon | Case Manager/Care Coordinator | 3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968 | 2018-10-22 |
| 1023584653 | Saida Lorena Verduzco | Case Manager/Care Coordinator | 3321 W Kennewick Ave, Kennewick, WA 99336-2957 | 2018-10-22 |
| Find all providers in KENNEWICK | ||||
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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.