JESSICA MARIE SULLIVAN (NPI# 1336448984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336448984 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE SULLIVAN |
| Practice Address |
6497 Parkland Dr Ste 103d Sarasota FL 34243-4097 |
| Practice Telephone | 9416818260 |
| Practice Fax Number | 9412518230 |
| Mailing Telephone | 9416818260 |
| Mailing Fax Number | 9412518230 |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2020-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY10510 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2280 Trailmate Dr Ste 101, Sarasota, FL 34243 | 9416818260 | 9412518230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497380778 | Jessica Sullivan | Nurse Practitioner | 2024 Willow Pond Way, Grafton, WI 53024-9101 | 2020-03-07 |
| 1114567351 | Jessica Sullivan | Licensed Practical Nurse | 4854 Dragoo Rd, Nashport, OH 43830-9613 | 2020-01-15 |
| 1205321775 | Jessica Marie Sullivan | Behavior Technician | 28 Laurel Rd, Milton, MA 02186-1522 | 2018-06-27 |
| 1245731280 | Jessica Sullivan | Physical Therapist | 106 Tonkin St, Beaverton, MI 48612-8116 | 2018-02-26 |
| 1508265737 | Jessica Page Sullivan | Nurse Practitioner | 10 W Madison St Ste 11, Baltimore, MD 21201 | 2014-08-13 |
| 1700217502 | Jessica Sullivan | Speech-Language Pathologist | 435 S Sunset Dr, El Centro, CA 92243-5553 | 2013-12-03 |
| 1699108944 | Jessica Nicole Sullivan | Occupational Therapist | 210 S County Road 675 W, North Vernon, IN 47265-7536 | 2013-08-09 |
| 1396085304 | Jessica C Sullivan | Social Worker | 360 State Route 17m, Suite 4, Monroe, NY 10950-3443 | 2013-02-28 |
| 1285994160 | Jessica Rea Sullivan | Social Worker | 15 Belcher St, Sharon, MA 02067-1305 | 2012-05-24 |
| 1063664134 | Jessica Lynn Sullivan | Physical Therapist | 7 Locust Dr, Greenwood Lake, NY 10925-2728 | 2008-10-21 |
| Street Address |
6497 PARKLAND DR STE 103D |
| City | SARASOTA |
| State | FL |
| Zip Code | 34243-4097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759667 | Justin M. Lampert | Counselor | 2280 Trailmate Drive, Suite 101, Sarasota, FL 34243 | 2020-01-11 |
| 1851879217 | Jesse Lebaron | Dermatology | 8451 Shade Ave Ste 205, Sarasota, FL 34243 | 2018-07-29 |
| 1053839514 | Leslie Schulman | Audiologist | 5837 Carriage Drive, Sarasota, FL 34243 | 2017-09-05 |
| 1841711058 | Gabriela Rocha | Dentist | 1500 Pine Crest Way, North Port, FL 34243 | 2017-06-28 |
| 1386004745 | J&j Shine Corp | Community/Behavioral Health | 8051 N. Tamiami Trail, Suite E2, Box 37, Sarasota, FL 34243 | 2016-02-29 |
| 1023482288 | Comfortable Care Dental Health Professionals, Pa | Dentist | 3315 University Pkwy, 103, Sarasota, FL 34243 | 2015-11-25 |
| 1346626009 | Cora Health Services Inc. | Clinic/Center | 6150 North Lockwood Ridge, Sarasota, FL 34243 | 2015-08-05 |
| 1851682462 | Timothy Clifton Prichard | Speech-Language Pathologist | 5770 Timber Lake Dr, Sarasota, FL 34243 | 2011-04-29 |
| 1548568702 | Eyeglass World | Technician/Technologist | 77 North Cattlemen Road, Sarasota, FL 34243 | 2011-03-11 |
| 1104051978 | Hillstrom Facial Plastic Surgery Pa | Otolaryngology | 5911 N. Honore Ave., Suite 120, Sarasota, FL 34243 | 2009-05-22 |
| Find all providers in zip 34243 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821477944 | William Siff | Psychologist | 1255 N Gulfstream Ave Apt 604, Sarasota, FL 34236-8927 | 2015-05-21 |
| 1396140489 | Baird Psychology Services, LLC | Psychologist | 2831 Ringling Blvd Ste 207c, Sarasota, FL 34237-5351 | 2014-10-31 |
| 1790198463 | Mickaella Moreta Corp | Psychologist | 2401 University Pkwy Bldg 1, Suite 203, Sarasota, FL 34243-2893 | 2014-06-10 |
| 1205155900 | John Samuel Kleinbaum | Psychologist | 7414 Linden Ln, Sarasota, FL 34243-5129 | 2010-05-20 |
| 1023269941 | Amy L Hoffman | Psychologist | 2844 Proctor Rd, Suite 3, Sarasota, FL 34231-6424 | 2008-10-09 |
| 1235326067 | Valeria Lynette Moore | Psychologist | 200 Herons Run Dr Apt 219, Sarasota, FL 34232-1760 | 2007-09-25 |
| 1962526780 | Marvin Keith Hendon | Psychologist | 240 North Washington Boulevard, 308, Sarasota, FL 34236 | 2007-03-19 |
| 1821129479 | Deborah Huntley | Psychologist | 4576 Ascot Cir S, Sarasota, FL 34235-3612 | 2007-03-07 |
| 1639204647 | Jessie Williams | Psychologist | 1221 S Tamiami Trl, Sarasota, FL 34239-2208 | 2007-02-22 |
| 1295892768 | Tara Michele Files-hall | Psychologist | 6977 Professional Parkway East, Sarasota, FL 34240-8411 | 2007-01-03 |
| Find all providers in SARASOTA | ||||
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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.