KAREN A SULLIVAN (NPI# 1245259134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245259134 |
| Entity Type | Individual |
| Full Name | KAREN A SULLIVAN |
| Other Name | KAREN A STEWART |
| Credential | CNM, FNP |
| Practice Address |
700 Mount Hope Ave Suite 210 Bangor ME 04401-5691 |
| Practice Telephone | 2079073030 |
| Practice Fax Number | 2079073031 |
| Mailing Telephone | 2079073030 |
| Mailing Fax Number | 2079073031 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2013-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP121054 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | CNM82012 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 404090099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1063022648 | Karen Sullivan | Social Worker | 52 Gray Rd, Andover, MA 01810-2219 | 2020-08-07 |
| 1376961045 | Karen Marie Sullivan | Speech-Language Pathologist | 425 George Washington Tpke, Burlington, CT 06013-2606 | 2014-03-31 |
| 1073938734 | Karen Sullivan | Counselor | 111 S Virginia St Ste L03, Crystal Lake, IL 60014-5853 | 2014-03-04 |
| 1154754562 | Karen Louise Sullivan | Nurse's Aide | 1485 Timberwood Drive, Findlay, OH 45840 | 2013-08-21 |
| 1871887562 | Karen Dorothy Sullivan | Clinical Neuropsychologist | 101 Manning Dr Cb 7200, Chapel Hill, NC 27599-4817 | 2011-05-31 |
| 1003118639 | Karen Elizabeth Sullivan | Speech-Language Pathologist | 25 E 104th St, New York, NY 10029-4402 | 2010-12-02 |
| 1205145869 | Karen Sullivan | Audiologist | 349 Rose Ave, Staten Island, NY 10306-4327 | 2010-09-30 |
| 1033232293 | Karen A Sullivan | Family Medicine | 5320 Providence Rd Ste 301, Virginia Beach, VA 23464-4122 | 2007-04-10 |
| 1063508653 | Karen E Sullivan | Pathology | 5126 Hospital Drive, Covington, GA 30014 | 2006-10-04 |
| Street Address |
700 MOUNT HOPE AVE SUITE 210 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427258 | Paul Alan Shapero | Allergy & Immunology | 700 Mount Hope Ave, Suite 430, Bangor, ME 04401-5691 | 2005-06-16 |
| 1437559473 | Angela Bull | Counselor | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2014-08-27 |
| 1083029953 | Mary Beaster | Speech-Language Pathologist | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2014-06-30 |
| 1710318399 | Becky Mansfield | Counselor | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2013-12-06 |
| 1699014241 | United Cerebral Palsy of Northeastern Maine | Speech-Language Pathologist | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5680 | 2013-02-01 |
| 1558607432 | Amanda Conners | Social Worker | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2012-12-20 |
| 1669716304 | United Cerebral Palsy of Northeastern Maine | Community/Behavioral Health | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2012-11-19 |
| 1730423872 | Jonathan C Smith | Counselor | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2012-11-15 |
| 1063765253 | Spectrum Healthcare Partners, P.a | Surgery | 700 Mount Hope Ave, Ste 620, Bangor, ME 04401 | 2012-10-25 |
| 1225303498 | United Cerebral Palsy of Northeastern Maine | Dental Hygienist | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2012-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073139465 | Jaclyn Kimberly Foraker | Nurse Practitioner | 885 Union St Ste 215, Bangor, ME 04401-3092 | 2020-06-22 |
| 1790326585 | Remigiusz Mariusz Paluszak | Nurse Practitioner | 417 State St #400, Bangor, Me 04401, Bangor, MA 04401-0440 | 2019-10-02 |
| 1629594882 | Auteum Lake | Nurse Practitioner | 277 State St Ste 1b, Bangor, ME 04401-5440 | 2017-08-19 |
| 1659730323 | Cherie Christopherson | Nurse Practitioner | 417 State St Ste 200, Bangor, ME 04401-6630 | 2016-02-23 |
| 1194060236 | Lori M. Lipari | Nurse Practitioner | 50521 34th Ave, Bangor, MI 49013-9726 | 2012-11-30 |
| 1306107446 | Theresa Marie Knowles | Nurse Practitioner | 103 Maine Ave, Bangor, ME 04401-4330 | 2012-06-05 |
| 1164594057 | Amy Cotton | Nurse Practitioner | 885 Union Street, Suite 221, Bangor, ME 04402-0404 | 2006-11-15 |
| 1003901729 | Nancy J Fishwick | Nurse Practitioner | 30 Mckinley St, Bangor, ME 04401-3830 | 2006-10-04 |
| 1528098316 | Constance M Springer-tracy | Nurse Practitioner | 656 State Street, Bangor, ME 04401-5609 | 2006-07-04 |
| 1699715417 | Claire J Mooney | Nurse Practitioner | 915 Union St, Bangor, ME 04401-8602 | 2006-06-08 |
| Find all providers in BANGOR | ||||
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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.