JANICE L SULLIVAN (NPI# 1245300631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245300631 |
| Entity Type | Individual |
| Full Name | JANICE L SULLIVAN |
| Credential | RN |
| Practice Address |
6717 E 2nd St Prescott Valley AZ 86314-2659 |
| Mailing Address |
13925 N Warbonnet Ln Prescott AZ 86305-1590 |
| Practice Telephone | 9287713560 |
| Mailing Telephone | 9287713560 |
| Mailing Fax Number | 9287713542 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN080551 | AZ | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972587954 | Janice Elaine Sullivan | Pediatrics | 231 E Chestnut St, Louisville, KY 40202-1821 | 2005-12-02 |
| Street Address |
6717 E 2ND ST |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629079264 | Katherine Lee Thompson | Physical Therapist | 6717 E 2nd St, Ste D, Prescott Valley, AZ 86314-2659 | 2005-08-04 |
| 1942539648 | Yavapai County | Public Health or Welfare | 6717 E 2nd St, Suite D, Prescott Valley, AZ 86314-2659 | 2009-12-09 |
| 1740350008 | Linda Allison Messerly | Registered Nurse | 6717 E 2nd St, Suite D, Prescott Valley, AZ 86314-2659 | 2006-11-08 |
| 1730180142 | Kelly Grace Aldrich | Dietitian, Registered | 6717 E 2nd St, Ste. D, Prescott Valley, AZ 86314-2659 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706975 | Susanne Marie Angela Gunther | Registered Nurse | 14037 E Red Bird Rd, Scottsdale, AZ 85262-9543 | 2020-10-02 |
| 1679196158 | Mary Sandra Whitlatch | Registered Nurse | 4939 W Ray Rd Ste 4-312, Chandler, AZ 85226-2065 | 2020-05-19 |
| 1992327043 | Patricia Marie Lewis | Registered Nurse | 1848 N Somerset, Mesa, AZ 85205-3583 | 2020-05-12 |
| 1326527391 | Lori Ann Sparks Corgan | Registered Nurse | 14256 W Cora Ln, Goodyear, AZ 85395-8480 | 2018-08-10 |
| 1629586912 | Marc Completo | Registered Nurse | 5217 W Spur Dr, Phoenix, AZ 85083-1285 | 2018-01-20 |
| 1043728330 | Marina Louise Gierish | Registered Nurse | 20856 N 88th Dr, Peoria, AZ 85382-6433 | 2018-01-20 |
| 1588113708 | Nanette Hernandez | Registered Nurse | 5008 E Thomas Rd, Phoenix, AZ 85018-7956 | 2016-09-29 |
| 1518332139 | Lelabeth Pearson | Registered Nurse | Interstate 19 and State Route 86, Sells, AZ 85634-0548 | 2015-12-08 |
| 1720450307 | Melissa Johnson | Registered Nurse | 4836 E Williams Dr, Phoenix, AZ 85054-6169 | 2015-10-22 |
| 1295147957 | Jennifer Ann Meiser Hayes | Registered Nurse | 908 W Anderson Rd, Flagstaff, AZ 86001-1111 | 2014-05-28 |
| Find all providers with the same taxonomy | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
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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.