MEAGAN M SULLIVAN (NPI# 1225664170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225664170 |
| Entity Type | Individual |
| Full Name | MEAGAN M SULLIVAN |
| Practice Address |
365 Broadway Ste 1 Amityville NY 11701-2716 |
| Practice Telephone | 6314644545 |
| Mailing Telephone | 6314644545 |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 309601 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1111 Montauk Hwy Ste 2-2, West Islip, NY 117954910 | 6316479100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003324104 | Meagan Sullivan | Behavioral Analyst | 4530 E Muirwood Dr, Phoenix, AZ 85048-7639 | 2018-01-11 |
| 1477713956 | Meagan January Sullivan | Nurse Practitioner | 761 Main Ave, Suite 201, Norwalk, CT 06851-1080 | 2008-06-10 |
| Street Address |
365 BROADWAY STE 1 |
| City | AMITYVILLE |
| State | NY |
| Zip Code | 11701-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013427400 | Katya Cabrera | Licensed Practical Nurse | 8 Coolidge Ave, North Amityville, NY 11701 | 2017-10-11 |
| 1750800405 | Laura M Sabatino-jan | Nurse Practitioner | 65 S. Emerson Avenue, Amity Harbor, NY 11701 | 2017-09-13 |
| 1104355536 | Massapequa Center LLC | Skilled Nursing Facility | 101 Louden Ave., Amityville, NY 11701 | 2017-06-08 |
| 1588193874 | Allison Herzog | Specialist | 41 Terry Avenue, Amityville, NY 11701 | 2017-06-08 |
| 1962949677 | Sherlin Golbari | Physician Assistant | 317 Broadway Suite A, Amytyville, NY 11701 | 2017-01-20 |
| 1598129710 | Yoko Shiraiwa | Nurse Practitioner | 78 Ocean Avenue, Amityville, NY 11701 | 2016-04-13 |
| 1891158820 | Grace Ann Budde | Health Educator | 30 S Ireland Pl, Amityville, NY 11701 | 2016-03-29 |
| 1720445497 | Sabrina A Rahman | Pharmacist | 355 A Broadway, Amityville, NY 11701 | 2016-01-26 |
| 1902245335 | Darlene Marie Mccurty | Specialist | 125 Larsen Dr, Amityville, NY 11701 | 2013-06-19 |
| 1457613507 | Edria Parks | Specialist | 14 Wanser Pl, Amityville, NY 11701 | 2012-06-14 |
| Find all providers in zip 11701 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639735681 | Jagdev Kaur | Nurse Practitioner | 333 Broadway Ste 2, Amityville, NY 11701-2719 | 2019-05-15 |
| 1043406424 | Barbara Farrell | Nurse Practitioner | 333 Broadway, Amityville, NY 11701-2719 | 2007-09-19 |
| 1801803028 | Joann Simpson | Nurse Practitioner | 333 Broadway, Amityville, NY 11701-2719 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235432 | Koli Eckert | Nurse Practitioner | 2455 77th St Fl 2, East Elmhurst, NY 11370-1525 | 2020-11-04 |
| 1134728942 | Angelyn Arielle Brown | Nurse Practitioner | 3332 Walden Ave Ste 1100, Depew, NY 14043-2400 | 2020-10-22 |
| 1871191056 | Natalie Larissa Cohen | Nurse Practitioner | 555 Laguardia Pl, New York, NY 10012-1402 | 2020-10-11 |
| 1841807799 | Raquel Shivanna Sookram | Nurse Practitioner | 5505 Myrtle Ave, Ridgewood, NY 11385-3550 | 2020-09-24 |
| 1154938264 | Haessal Kim | Nurse Practitioner | 14425 33rd Ave Apt 4l, Flushing, NY 11354-3103 | 2020-09-23 |
| 1235745282 | April Lynne Mott | Nurse Practitioner | 600 Ivy St Ste 108, Elmira, NY 14905-1627 | 2020-09-16 |
| 1407461676 | Kim Marie Neenan-reilly | Nurse Practitioner | 7200 Douglaston Pkwy, Main Floor, Douglaston, NY 11362-1941 | 2020-09-14 |
| 1336753680 | Alexandra Lynn Picard | Nurse Practitioner | Henry Ittleson Center, 5050 Iselin Avenue, Bronx, NY 10471 | 2020-09-03 |
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1992316996 | Cassandra Dionne Saint-furcy | Nurse Practitioner | 6 Provenzano St, Inwood, NY 11096-1410 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
| City | AMITYVILLE |
| Zip Code | 11701 |
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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.