MS. SUE SULLIVAN (NPI# 1306923784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306923784 |
| Entity Type | Individual |
| Full Name | MS. SUE SULLIVAN |
| Credential | RN |
| Practice Address |
1570 Suncrest Dr Lapeer MI 48446-1154 |
| Practice Telephone | 8106670500 |
| Mailing Telephone | 8106670500 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
4704121222 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306019708 | Sue Sullivan | Nurse Practitioner | 1409 Braden St, Jacksonville, AR 72076-3720 | 2008-04-07 |
| Street Address |
1570 SUNCREST DR |
| City | LAPEER |
| State | MI |
| Zip Code | 48446-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275585929 | County of Lapeer | Community/Behavioral Health | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2006-05-17 |
| 1326649971 | Courtney Pickett | Behavior Technician | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2020-11-02 |
| 1104427756 | Alexis Dodgin | Behavior Technician | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2020-11-02 |
| 1659972297 | Teresa Traks-garrison | Counselor | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2020-11-02 |
| 1053927749 | Andrea Smith | Social Worker | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2020-09-18 |
| 1205441250 | Nicole Suminski | Behavioral Analyst | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2020-09-15 |
| 1699380931 | Kirsten Gentry | Behavior Technician | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2020-09-14 |
| 1053925206 | Jennifer Sanders | Social Worker | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2020-09-04 |
| 1376157883 | Abigail Wells | Behavior Technician | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2020-09-02 |
| 1124630538 | Kathleen Crawford | Behavior Technician | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136986 | Michelle Jean Windom | Social Worker | 608 Fox St., Lapeer, MI 48446 | 2018-03-08 |
| 1831448927 | Christina Thick | Registered Nurse | 1570 Suncrest Drive, Lapeer, MI 48446 | 2012-09-05 |
| 1740556109 | Nina S Lopatin | Audiologist | 951 S. Main Street, Ste. 2, Lapeer, MI 48446 | 2012-03-29 |
| 1316249295 | Adam Richard Ahlgren | Occupational Therapist | 2525 Demille Blvd, Lapeer, MI 48446 | 2010-11-26 |
| 1780903898 | Melissa Ann Price | Occupational Therapy Assistant | 1582 Heather Drive, Lapeer, MI 48446 | 2010-05-28 |
| 1801123732 | Colleen Marie Soto | Counselor | 608 Fox Street, Lapeer, MT 48446 | 2009-11-13 |
| 1396071684 | Michigan Spinal Rehabilitation Clinics Pllc | Psychiatry & Neurology | 2401 W. Genesee Street, Suite A, Lapeer, MI 48446 | 2009-10-22 |
| 1659541902 | Hesham E Gayar, Md, PC | Specialist | 1295 Barry Drive, Suite A, Lapeer, MI 48446 | 2008-03-03 |
| 1790977494 | Stanley S. Roland, D.o., P.C. | Dermatology | 610 North Main Street, Lapeer, MI 48446 | 2007-08-16 |
| 1316139603 | Kimberly Ann Proffer | Pharmacist | 15555 Demill Rd, Lapeer, MI 48446 | 2007-08-10 |
| Find all providers in zip 48446 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366523136 | Doris Bryant | Registered Nurse | 1570 Suncrest Dr, Lapeer, MI 48446-1154 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946705 | Ahuva Lakier | Registered Nurse | 15895 Harden Cir, Southfield, MI 48075-3042 | 2020-06-09 |
| 1891351540 | Frederick Patrick | Registered Nurse | 2864 125th Ave, Allegan, MI 49010-9276 | 2019-05-17 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1275003113 | Cathleen Brooks | Registered Nurse | 1200 N Telegraph Rd # 32, Pontiac, MI 48341-1032 | 2018-12-04 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1780168856 | Alison Male | Registered Nurse | 530 W Oldfield St, Alpena, MI 49707-1810 | 2018-09-24 |
| 1508346800 | Colleen Botos | Registered Nurse | 5671 N Skeel Ave Ste 6, Oscoda, MI 48750-1535 | 2018-08-16 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1083131924 | Kristen Lynn Little | Registered Nurse | 3726 Spruce Run, White Lake, MI 48383-3523 | 2017-08-22 |
| 1396269379 | Emily Elisabeth Ann Pawlowski | Registered Nurse | 12021 Cardwell St, Livonia, MI 48150-2355 | 2017-08-01 |
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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.