KATHLEEN SULLIVAN (NPI# 1285057687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285057687 |
| Entity Type | Individual |
| Full Name | KATHLEEN SULLIVAN |
| Credential | RN |
| Practice Address |
2380 Timbercrest Cir W Clearwater FL 33763-1624 |
| Practice Telephone | 7277997828 |
| Practice Fax Number | 7277991680 |
| Mailing Telephone | 7277997828 |
| Mailing Fax Number | 7277991680 |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2020-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
RN9213486 | FL | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN11007033 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265890909 | Kathleen Sullivan | Clinical Nurse Specialist | 2040 9th Ave, # C, Honolulu, HI 96816-2952 | 2016-02-09 |
| 1871907006 | Kathleen E Sullivan | Behavioral Analyst | 118 35th St, Bellingham, WA 98225-6053 | 2014-06-16 |
| 1538436555 | Kathleen Sullivan | Speech-Language Pathologist | 301 Charlotte Ave, Hamburg, NY 14075-3857 | 2011-11-18 |
| 1396023388 | Kathleen T Sullivan | Occupational Therapist | 6678 County Road 32, Norwich, NY 13815-3554 | 2011-07-26 |
| 1912204322 | Kathleen Ann Sullivan | Speech-Language Pathologist | 3043 State Route 48, Oswego, NY 13126-5733 | 2011-02-21 |
| 1790938694 | Kathleen Scarlett Sullivan | Marriage & Family Therapist | 3851 Rosecrans St Ste K-08, San Diego, CA 92110-3115 | 2008-10-23 |
| 1639320336 | Kathleen Connelly Sullivan | Physician Assistant | 2 Fogg Rd, Weymouth, MA 02190 | 2008-10-01 |
| 1306095955 | Kathleen M. Sullivan | Nurse Practitioner | 20511 Sunset Ln, Lago Vista, TX 78645-6245 | 2008-09-18 |
| 1356518492 | Kathleen C Sullivan | Licensed Practical Nurse | 340 Vincent St., Syracuse, NY 13210-3712 | 2008-05-08 |
| 1881874758 | Kathleen E Sullivan | Counselor | 12 Beach St, Saco, ME 04072-2802 | 2007-11-08 |
| Street Address |
2380 TIMBERCREST CIR W |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33763-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205201613 | Joshua Roop | Counselor | 2725 Park Dr Ste 2f, Clearwater, FL 33763 | 2015-12-10 |
| 1093184863 | Anthony Joe Adams | Dentist | 25877 Us Highway 19 N, Clearwater, FL 33763 | 2015-09-22 |
| 1568893840 | Shawna Byrd | Counselor | 2725 Park Dr Ste 2e, Clearwater, FL 33763 | 2013-12-11 |
| 1265670178 | Clearwater Chiropractic Center LLC | Chiropractor | 25400 Us Highway 19 North, Suite 112, Clearwater, FL 33763 | 2009-01-30 |
| 1447472667 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2555 Enterprise Road, Suite 3, Clearwater, FL 33763 | 2007-05-03 |
| 1376679464 | Mary Ellen Baker-gayne | Counselor | 2555 Enterprise Rd., Ste. 2, Clearwater, FL 33763 | 2007-02-26 |
| 1669524708 | Robert Steven Colen | Counselor | 24761 Us 19 North, Ste 680, Clearwater, FL 33763 | 2007-01-17 |
| 1780758037 | Diana Lynn Summers Denta | Social Worker | 24761 Us Hwy 19 N, Suite 680, Clearwater, FL 33763 | 2006-11-20 |
| 1891808952 | Cynthia Douglas Lewis | Chiropractor | 24945 Us 19 N, Clearwater, FL 33763 | 2006-08-15 |
| 1285641084 | David P Crowley | Chiropractor | 24945 Us Hwy 19 N, Clearwater, FL 33763 | 2006-08-02 |
| Find all providers in zip 33763 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518311653 | Svg Mental Health Solutions Pllc | Nurse Practitioner | 806 Harbor Is, Clearwater, FL 33767-1806 | 2016-04-14 |
| 1477563419 | Amy Ballou | Nurse Practitioner | 14041 Icot Blvd, Clearwater, FL 33760-3702 | 2006-08-09 |
| 1134761802 | Cynthia Vance Morris | Nurse Practitioner | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2019-10-14 |
| 1609426378 | Maurice Foster | Nurse Practitioner | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2019-09-16 |
| 1144880980 | Cassandra Beck | Nurse Practitioner | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2019-06-14 |
| 1336614114 | Naoko Hurvitz | Nurse Practitioner | 1938 Soule Rd, Clearwater, FL 33759-1507 | 2018-10-09 |
| 1255819900 | Joshua Drew Barnes | Nurse Practitioner | 1437 S Belcher Rd, Clearwater, FL 33764-2829 | 2018-08-04 |
| 1326547985 | Gwendolyn Newton | Nurse Practitioner | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2018-02-08 |
| 1962925446 | Stephanie Stuart | Nurse Practitioner | 14400 49th St N, Clearwater, FL 33762-2890 | 2017-07-17 |
| 1407204704 | Jacqulyn Yackel | Nurse Practitioner | 2960 Roosevelt Blvd, Clearwater, FL 33760-1952 | 2016-05-26 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33763 |
Please comment or provide details below to improve the information on KATHLEEN SULLIVAN.
| 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.