MARY JANETTE SULLIVAN (NPI# 1356620009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356620009 |
| Entity Type | Individual |
| Full Name | MARY JANETTE SULLIVAN |
| Other Name | MARY JANETTE WILMOTH |
| Credential | CRNP |
| Practice Address |
2100 Southbridge Pkwy Ste 650 Birmingham AL 35209-1302 |
| Mailing Address |
333 Commerce St Ste 700 Nashville TN 37201-1835 |
| Practice Telephone | 2055338902 |
| Practice Fax Number | 8557375542 |
| Mailing Telephone | 6154549850 |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2019-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-077197 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487135430 | Mary Sullivan | Registered Nurse | 2527 Hiawatha, San Antonio, TX 78210-5422 | 2018-08-28 |
| 1508315961 | Mary Sheila Sullivan | Dietitian, Registered | 16 Raymond Dr, Wilbraham, MA 01095-2606 | 2016-09-27 |
| 1073851192 | Mary Barbara Sullivan | General Practice | 1403 Wind River Dr Se, Huntsville, AL 35802-3936 | 2013-01-24 |
| 1144572546 | Mary Elizabeth Sullivan | Social Worker | 123 Garden St, Needham, MA 02492-2029 | 2012-10-09 |
| 1164784781 | Mary Sullivan | Specialist | 3 Hawthorne St, Hicksville, NY 11801-2607 | 2012-06-10 |
| 1811268980 | Mary E Sullivan | Psychologist | 901 E Hackberry Ave Rm C-204, Mcallen, TX 78501-6502 | 2012-01-22 |
| 1366756272 | Mary Kate Sullivan | Occupational Therapy Assistant | 50 Madison Rd, Dumas, AR 71639-9385 | 2010-08-03 |
| 1740592955 | Mary Elizabeth Sullivan | Social Worker | 2201 South 17th Street, Lincoln, NE 68502-2953 | 2010-07-06 |
| 1215267554 | Mary J Sullivan | Speech-Language Pathologist | 95 Skowhegan Rd, Maine Center for Integrated Rehab, Fairfield, ME 04937-3303 | 2010-01-08 |
| 1588893564 | Mary Loraine Sullivan | Obstetrics & Gynecology | 133 W Main St # 240, El Cajon, CA 92020-3315 | 2009-07-10 |
| Street Address |
2100 SOUTHBRIDGE PKWY STE 650 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720096183 | Carol James | Nurse Practitioner | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2006-08-03 |
| 1831710508 | Inspire Counseling and Consulting LLC | Social Worker | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2020-05-04 |
| 1093354441 | Tamika Lashone Carter-alexander | Social Worker | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2020-01-02 |
| 1942766282 | Stephanie Lett | Social Worker | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2019-02-12 |
| 1730644204 | L.o.l. Counseling and Consulting Services | Social Worker | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2019-02-08 |
| 1114404845 | Hal Medical O&p | Durable Medical Equipment & Medical Supplies | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2018-07-25 |
| 1417465071 | Thermal Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2018-01-17 |
| 1801319892 | Thandi Kenyetta Wells | Counselor | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2017-07-20 |
| 1588184782 | Emily A Lacey | Nurse Practitioner | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2017-06-20 |
| 1508391632 | Without Walls Counseling, PC | Counselor | 2100 Southbridge Pkwy Ste 650, Birmingham, AL 35209-1302 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664788 | Sarah Elizabeth Baumgarten | Nurse Practitioner | 127 E Hawthorne Rd, Birmingham, AL 35209-3958 | 2020-09-21 |
| 1407481559 | Ashley Jasmine Pauldin | Nurse Practitioner | 2010 Avenue F Ensley, Birmingham, AL 35218 | 2020-03-10 |
| 1609400621 | Vanessa Jones | Nurse Practitioner | 204 Vancouver Ct, Birmingham, AL 35211-6929 | 2020-02-28 |
| 1205472297 | Dilja Selcanin | Nurse Practitioner | 2237 Pembroke Rd, Birmingham, MI 48009-7507 | 2019-11-25 |
| 1427693480 | Alexandra Obarr Roussel | Nurse Practitioner | 1714 9th Ave S # Lrc300, Birmingham, AL 35205-3606 | 2019-11-14 |
| 1215582945 | Lauren Wall Maynard | Nurse Practitioner | 2145 Highland Ave S Ste 200, Birmingham, AL 35205-4015 | 2019-08-08 |
| 1295393502 | Deborah Ann Bowers | Nurse Practitioner | 1308 26th Ave N, Birmingham, AL 35204-1118 | 2019-06-01 |
| 1376019315 | Juyoung Jackson | Nurse Practitioner | 513 Brookwood Blvd Ste 500, Birmingham, AL 35209-7817 | 2018-10-17 |
| 1265908313 | Katie Fortenberry Miller | Nurse Practitioner | 833 Princeton Ave Sw Bldg IIi, Birmingham, AL 35211-1323 | 2018-10-16 |
| 1083180319 | Tiffany Monique Thomas | Nurse Practitioner | 2142 Sandlin Rd, Birmingham, AL 35235-2031 | 2018-10-14 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
Please comment or provide details below to improve the information on MARY JANETTE 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.