IZABELLA MARIA SULLIVAN (NPI# 1356711063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356711063 |
| Entity Type | Individual |
| Full Name | IZABELLA MARIA SULLIVAN |
| Credential | APRN |
| Practice Address |
11901 Standiford Plaza Dr Louisville KY 40229-5906 |
| Mailing Address |
2700 Stanley Gault Pkwy Suite 129 Louisville KY 40223-5132 |
| Practice Telephone | 5029690526 |
| Practice Fax Number | 5029690565 |
| Mailing Telephone | 5029690526 |
| Mailing Fax Number | 5029690565 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3009304 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11901 STANDIFORD PLAZA DR |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40229-5906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124072871 | Michael J Morris | Optometrist | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2006-05-19 |
| 1013518760 | Hannah Thomas | Pharmacist | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2020-11-07 |
| 1568063063 | Jason S Beals | Pharmacist | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2020-11-03 |
| 1992219174 | Noelle Allison Lang | Anesthesiology | 11901 Standiford Plaza Dr, Louisville, KY 40229 | 2017-11-26 |
| 1710405105 | Stephanie Mesha Bryant | Nurse Practitioner | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2017-09-06 |
| 1396294401 | Hershema Burnett | Nurse Practitioner | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2016-09-30 |
| 1467885251 | Elizabeth Hugenberg | Pharmacist | 11901 Standiford Plaza Dr, Pharmacy, Louisville, KY 40229-5906 | 2013-08-15 |
| 1922394352 | Shoshana Dupree | Nurse Practitioner | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2011-06-23 |
| 1255659090 | Julie Ann Buckman | Nurse Practitioner | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2010-05-04 |
| 1326284209 | Kimberly Williams | Nurse Practitioner | 11901 Standiford Plaza Dr, Louisville, KY 40229-5906 | 2008-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104341171 | Brandy Wells | Family Medicine | 11612 Top Walnut Loop, Louisville, KY 40229 | 2017-08-10 |
| 1649472655 | Janice K Jones | Physical Therapy Assistant | 5111 Commerce Crossing Suite 100, Louisville, KY 40229 | 2007-06-01 |
| 1528102183 | R Douglas Edwards Jr. | Dentist | 3807 Freedom Way, Louisville, KY 40229 | 2007-02-16 |
| 1407833940 | Robert D Bretz | Radiology | 879 Old Preston Highway North, Louisville, KY 40229 | 2005-12-27 |
| 1134606619 | Brynn Ashley Dombroski | Behavioral Analyst | 5215 Commerce Crossings Dr, Louisville, KY 40229 | 2018-07-26 |
| 1669972923 | Mariah Evelyn Laird | Occupational Therapist | 5215 Commerce Crossings Dr, Louisville, KY 40229 | 2018-02-13 |
| 1134664949 | Jessica Ann Mattingly | Nurse Practitioner | 170 Dr Arla Way, Louisville, KY 40229 | 2017-01-03 |
| 1356727929 | Meredith Kyle-alvey Luckett | Physical Therapist | 170 Dr Arla Way, Louisville, KY 40229 | 2015-08-06 |
| 1861688459 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 9500 Preston Hwy, Louisville, KY 40229-1166 | 2007-09-18 |
| 1063835296 | Brittany Ward | Pharmacist | 9500 Preston Hwy, Louisville, KY 40229-1199 | 2014-01-23 |
| Find all providers in zip 40229 | ||||
| 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 |
|---|---|---|---|---|
| 1841891645 | K Tierney Lanham LLC | Nurse Practitioner | 6431 Regency Ln, Louisville, KY 40207-2309 | 2020-11-06 |
| 1578192274 | Brian W Oliver | Nurse Practitioner | 309 Iola Rd, Louisville, KY 40207-2917 | 2020-04-04 |
| 1942835624 | Rebecca Spicer | Nurse Practitioner | 9805 Scarborough Ave, Louisville, KY 40272-2436 | 2020-03-03 |
| 1487288262 | Centerpointe Health LLC | Nurse Practitioner | 10100 Linn Station Rd, Louisville, KY 40223-3861 | 2020-03-02 |
| 1750914438 | Robin Elizabeth Masters | Nurse Practitioner | 2011 Lake Point Way Ste 202, Louisville, KY 40223-4229 | 2020-02-20 |
| 1629608286 | Meagan Molestina | Nurse Practitioner | 411 E Chestnut St # 4b6b, Louisville, KY 40202-1713 | 2020-01-23 |
| 1255971131 | Casey Lynn Potter | Nurse Practitioner | 411 Eaat Chestnut Street, Level 5a, Louisville, KY 40202-1713 | 2020-01-08 |
| 1487292033 | Norton Children's Medical Group, LLC | Nurse Practitioner | 1930 Bishop Ln Ste 101710, Louisville, KY 40218-1921 | 2019-12-13 |
| 1548803273 | Jessica L Withrow | Nurse Practitioner | 1900 Bluegrass Ave Ste 103, Louisville, KY 40215-1144 | 2019-10-25 |
| 1629627773 | Latonya Renee Banks | Nurse Practitioner | 2210 Buechel Avenue, Suite 105, Louisville, KY 40218-2619 | 2019-09-10 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40229 |
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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.