MS. CHRISTINE ANN SULLIVAN


Address: 34800 Bob Wilson Dr, Bldg 6 5th Floor Credentialing, San Diego, CA 92134-5000
Phone: 6195326471

MS. CHRISTINE ANN SULLIVAN (NPI# 1265424121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265424121
Entity Type Individual
Full Name MS. CHRISTINE ANN SULLIVAN
Credential CNM, FNP, PHD, MSN
Practice Address 34800 Bob Wilson Dr
Bldg 6 5th Floor Credentialing
San Diego
CA 92134-5000
Practice Telephone 6195326471
Mailing Telephone 6195326471
Enumeration Date 2005-08-17
Last Update Date 2015-03-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WW0101X Registered Nurse
Specialization: Women's Health Care, Ambulatory
393917 CA Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
13187 CA Physician Assistants & Advanced Practice Nursing Providers
N 367A00000X Advanced Practice Midwife 548 CA Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 34800 BOB WILSON DR
BLDG 6 5TH FLOOR CREDENTIALING
City SAN DIEGO
State CA
Zip Code 92134-5000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245235134 Willie S Chao Dentist 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2005-06-16
1023625571 Samantha Savite Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-09-29
1588270326 Angelina Yvette Harris Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-09-17
1275149296 Alexa Werner Physical Therapist 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-09-16
1376157164 Toure Marlow Hinton Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-08-31
1316550106 John K Housinga Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-08-31
1073126249 Alfredo Carrillo Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-08-27
1326651647 Daniel Adan Denge Registered Nurse 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-08-26
1275146664 Zachariah Jacob Charles Boydsnee Military Health Care Provider 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-08-26
1245843820 Nikole Lanchares Dentist 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2020-08-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477178457 Joseph Hunter Sampson Military Health Care Provider 34101 Farenholt Ave #14, San Diego, CA 92134 2020-06-15
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1255870333 Dosh Page Physician Assistant Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 2017-02-22
1417328063 Noem Clay Gallego Military Health Care Provider 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 2015-10-08
1972999183 Justin Paul Lachney Military Health Care Provider 34101 Farenholt Avenue, San Diego, CA 92134 2015-04-14
1174963532 Ryan Anders Crane Otolaryngology Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 2013-07-01
1447591268 Amy B. Cornell Student in an Organized Health Care Education/Training Program 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 2013-03-04
1841562956 Christopher Patrick Androski Jr. Emergency Medical Technician, Basic Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 2012-02-04
1164717740 Jason James Weiner Internal Medicine Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 2011-06-13
1225320237 Kimberly Ann Thompson Student in an Organized Health Care Education/Training Program Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 2011-05-09
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City SAN DIEGO
Zip Code 92134

Improve Information

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Dataset Information

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.

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