KATIE HALLERAN SULLIVAN (NPI# 1336784628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336784628 |
| Entity Type | Individual |
| Full Name | KATIE HALLERAN SULLIVAN |
| Other Name | KATHERINE HALLERAN SULLIVAN |
| Credential | NP |
| Practice Address |
3919 N Maple St Spokane WA 99205-1349 |
| Mailing Address |
611 N Iron Bridge Way Spokane WA 99202-4932 |
| Practice Telephone | 5094448200 |
| Mailing Telephone | 5094448888 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP60997775 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970251 | Katie Michelle Sullivan | Nurse Practitioner | 8630 Fenton St Ste 1200, Silver Spring, MD 20910-3808 | 2020-07-28 |
| 1730715830 | Katie Sullivan | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-03-20 |
| 1033775473 | Katie Lorin Sullivan | Physical Therapist | 3947 Gulf Shores Pkwy Ste 260, Gulf Shores, AL 36542-2729 | 2019-05-10 |
| 1578022430 | Katie Sullivan | Behavior Technician | 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 | 2019-03-19 |
| 1740732080 | Katie E. Sullivan | Physical Therapist | 2106 Executive Dr, Hampton, VA 23666-2402 | 2016-11-03 |
| 1649524059 | Katie Jo Sullivan | Nurse Practitioner | 8579 Commerce Dr Ste 104, Easton, MD 21601-7420 | 2012-11-07 |
| 1447543079 | Katie Marie Sullivan | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2011-05-16 |
| 1851556559 | Katie L Sullivan | Speech-Language Pathologist | 5040 E Shea Blvd, Suite 168, Scottsdale, AZ 85254-4600 | 2008-07-22 |
| 1073534863 | Katie Leigh Sullivan | Physical Therapist | 1630 Commanche Ave, Green Bay, WI 54313-6089 | 2006-07-21 |
| Street Address |
3919 N MAPLE ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99205-1349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929932 | Monica Blykowski-may | Family Medicine | 3919 N Maple St, Spokane, WA 99205 | 2005-08-11 |
| 1386256048 | Allison Marie Pettersen | Pharmacist | 3919 N Maple St, Spokane, WA 99205-1349 | 2020-08-23 |
| 1942835640 | Patrick Jerome Bennett | Registered Nurse | 3919 N Maple St, Spokane, WA 99205-1349 | 2020-03-03 |
| 1407488778 | Alexis Houser | Registered Nurse | 3919 N Maple St, Spokane, WA 99205-1349 | 2020-02-05 |
| 1932747565 | Tabitha Jo Al Spedding | Registered Nurse | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-12-13 |
| 1174166565 | Community Health Association of Spokane | Pharmacy | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-10-18 |
| 1629619754 | Irina Ivan Ialanji | Dental Hygienist | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-09-30 |
| 1043864390 | Tori Morgan Anderson | Dental Hygienist | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-07-25 |
| 1366095754 | Marcy Rene Pacheco | Family Medicine | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-07-24 |
| 1972163178 | Andrew Gregory Pascal | Pharmacist | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275027740 | Jill Sanders | Behavior Technician | 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 | 2018-06-19 |
| 1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
| 1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
| 1770975864 | Trevor George | Naturopath | 3710 N Monroe, Spokane, WA 99205 | 2015-02-26 |
| 1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
| 1649616277 | Mary Anyango Okello | Nurse's Aide | 3614 W. Wellesley Ave, Spokane, WA 99205 | 2013-05-22 |
| 1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
| 1114202082 | Teresa J Stella | Pharmacist | 3919 N. Maple St., Spokane, WA 99205 | 2011-10-11 |
| 1184905218 | James Anthony Carnell | Dentist | 4610 N. Ash St., (suite 204), Spokane, WA 99205 | 2011-09-02 |
| 1508150632 | Jennifer Leigh Knuston | Social Worker | 207 W Nora Ave, Spokane, WA 99205 | 2011-06-06 |
| Find all providers in zip 99205 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555871 | Katy Jane Kovari | Nurse Practitioner | 2118 N Ruby St, Spokane, WA 99207-5043 | 2020-10-16 |
| 1184222820 | Sidni Brianna Shoemaker | Nurse Practitioner | 4512 N Bessie Ln, Spokane, WA 99212-1793 | 2020-10-14 |
| 1316551286 | Jamie Joelle Finnerty | Nurse Practitioner | 910 W 5th Avenue, Suite #1000, Spokane, WA 99204-2902 | 2020-09-08 |
| 1689285017 | Carmen Snypp | Nurse Practitioner | 3331 W Holyoke Ave, Spokane, WA 99208-4672 | 2020-08-10 |
| 1649817024 | Lisa Renee Giddings | Nurse Practitioner | 1617 E 65th Ave, Spokane, WA 99223-6703 | 2019-12-05 |
| 1134612500 | Jill Johnston | Nurse Practitioner | 1418 S Tacoma St, Spokane, WA 99203 | 2018-06-11 |
| 1982118394 | Dawn Marie Depriest | Nurse Practitioner | 600 N. Riverfront Blvd, Esfcom, Spokane, WA 99210 | 2017-11-21 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| 1972807311 | Wanping Zhang | Nurse Practitioner | 122 West 7th Ave, Suite 450, Spokane, WA 99204-2339 | 2010-12-28 |
| 1851694673 | Michele Louise Moore | Nurse Practitioner | 9130 E Fraser Ct, Spokane, WA 99206-6083 | 2010-12-16 |
| Find all providers in SPOKANE | ||||
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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.