MRS. CAROLYN ANNE SULLIVAN (NPI# 1225306269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225306269 |
| Entity Type | Individual |
| Full Name | MRS. CAROLYN ANNE SULLIVAN |
| Credential | AC PNP |
| Practice Address |
3231 S National Ave Suite 115 Springfield MO 65807-7304 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 4178850824 |
| Practice Fax Number | 4178904174 |
| Mailing Telephone | 4178294620 |
| Mailing Fax Number | 4178294316 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2015-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
2015003901 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
209009257 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1225306269 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285712281 | Carolyn Linnette Sullivan | Marriage & Family Therapist | 6603 Highpoint Drive, Austin, TX 78723 | 2006-11-01 |
| 1669926200 | Carolyn Yvonne Sullivan | Specialist/Technologist | 301 Hillcrest Dr, Laurens, SC 29360-2343 | 2016-08-11 |
| 1558660845 | Carolyn Jean Sullivan | Registered Nurse | 3101 Burnet Avenue, Room 116, Cincinnati, OH 45229-3014 | 2011-03-25 |
| 1669794699 | Carolyn Shannon Sullivan | Acupuncturist | 387 Quarry St, National Physical Therapy, Fall River, MA 02723-1025 | 2010-02-17 |
| Street Address |
3231 S NATIONAL AVE SUITE 115 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-7304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811999386 | Geoffery Lynn Stanczyk | Obstetrics & Gynecology | 3231 S National Ave, Suite 250, Springfield, MO 65807-7304 | 2005-08-12 |
| 1659819274 | Melanie Marsh | Nurse Practitioner | 3231 S National Ave, Ste 240, Springfield, MO 65807-7304 | 2017-02-02 |
| 1336521798 | Wendy L. Robinson | Nurse Practitioner | 3231 S National Ave, Suite 115, Springfield, MO 65807-7304 | 2015-06-22 |
| 1134501695 | Carla K. Athen | Nurse Practitioner | 3231 S National Ave, Suite 300, Springfield, MO 65807-7304 | 2015-06-22 |
| 1306241518 | Dawn L. Webb | Registered Nurse | 3231 S National Ave, Suite 425, Springfield, MO 65807-7304 | 2014-10-30 |
| 1417397472 | Kanya L Ahuja | Pediatrics | 3231 S National Ave, Ste 100, Springfield, MO 65807-7304 | 2013-07-04 |
| 1386986545 | Bennett Adam Bolyard | Internal Medicine | 3231 S National Ave, Suite 300, Springfield, MO 65807-7304 | 2013-03-25 |
| 1962741918 | Vanessa L. Montileone | Registered Nurse | 3231 S National Ave, Suite 430, Springfield, MO 65807-7304 | 2013-02-12 |
| 1801133343 | Stephanie Kirsten Voorhis | Nurse Practitioner | 3231 S National Ave, Ste 140, Springfield, MO 65807-7304 | 2013-01-03 |
| 1679824395 | Ashley N. Duey | Nurse Practitioner | 3231 S National Ave, Springfield, MO 65807-7304 | 2012-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 363LP0222X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719259 | Maureen Elizabeth Guignon | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-08-01 |
| 1902424575 | Kathryn Whitney Coop | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2020-07-10 |
| 1114574837 | Alexandra N Bickhaus | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-08-19 |
| 1285112276 | Nichole Gehl | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2018-08-01 |
| 1477063253 | Ashley N Reese | Nurse Practitioner | 35 Goodwin Dr, Festus, MO 63028-4122 | 2017-10-05 |
| 1447799655 | Jennifer Leath | Nurse Practitioner | 2401 Gillham Rd, Provider Enrollment, Kansas City, MO 64108-4619 | 2017-02-21 |
| 1194278887 | Laura Beth Martis | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2016-07-28 |
| 1215480272 | Katherine Anne Bonessa | Nurse Practitioner | 2401 Gillham Rd, Fetal Cardiology: 3rd Floor Hall Tower, Kansas City, MO 64108-4619 | 2016-07-26 |
| 1518312966 | Rebecca Leah Tomlinson Heaven | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2016-05-03 |
| 1295137271 | Mary Lorraine Aubrey | Nurse Practitioner | 1 Childrens Pl, 4250, Saint Louis, MO 63110-1002 | 2014-09-21 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.