MS. RENEE R SULLIVAN (NPI# 1366472722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366472722 |
| Entity Type | Individual |
| Full Name | MS. RENEE R SULLIVAN |
| Credential | APRN, BC |
| Practice Address |
600 E Francis St Suite 3 North Platte NE 69101-6796 |
| Practice Telephone | 3085326906 |
| Practice Fax Number | 3085326964 |
| Mailing Telephone | 3085326906 |
| Mailing Fax Number | 3085326964 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2014-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
110695 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710321419 | Renee Michelle Sullivan | Clinical Nurse Specialist | 1506 W 46th Ave, Kennewick, WA 99337-3935 | 2013-04-24 |
| 1205042850 | Renee L Sullivan | Marriage & Family Therapist | 153 Marcar Rd, Macon, GA 31216-5929 | 2007-05-14 |
| 1831602317 | Renee Sullivan | Counselor | 1401 W 2nd St Unit 1, Gillette, WY 82716-3334 | 2017-11-07 |
| 1750562070 | Renee R Sullivan | Developmental Therapist | 375 Fortune Blvd, Milford, MA 01757-1723 | 2007-11-15 |
| 1922214493 | Renee Marie Sullivan | Internal Medicine | One Hospital Drive, Columbia, MO 65201-0001 | 2007-05-14 |
| Street Address |
600 E FRANCIS ST SUITE 3 |
| City | NORTH PLATTE |
| State | NE |
| Zip Code | 69101-6796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902887631 | Gary Vandewege | Family Medicine | 600 E Francis St, Suite #3, North Platte, NE 69101-6796 | 2005-11-09 |
| 1285280107 | Renee A Tolle | Nurse Practitioner | 600 E Francis St, North Platte, NE 69101-6796 | 2019-08-15 |
| 1922478130 | Lynette Packard-fales | Dietitian, Registered | 600 E Francis St, Suite 3, North Platte, NE 69101-6796 | 2015-09-30 |
| 1447522487 | Great Plains Hospice/centennial Park | Hospice Care, Community Based | 600 E Francis St, Suite 8&9, North Platte, NE 69101-6796 | 2012-02-07 |
| 1124279427 | Narayana Murty Koduri | Psychiatry & Neurology | 600 E Francis St, Suite 8, North Platte, NE 69101-6796 | 2008-10-05 |
| 1962599449 | Janelle Sellers | Pharmacist | 600 E Francis St, Suite 3, North Platte, NE 69101-6796 | 2006-10-06 |
| 1225077431 | North Platte Nebraska Hospital Corporation | Home Health | 600 E Francis St, Suites 8 & 9, North Platte, NE 69101-6796 | 2006-06-05 |
| 1174561948 | North Platte Nebraska Hospital Corporation | Hospice Care, Community Based | 600 E Francis St, Suites 8 & 9, North Platte, NE 69101-6796 | 2006-06-03 |
| 1821044223 | Great Plains Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 600 E Francis St, Suite 6, North Platte, NE 69101-6796 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972017523 | Rocky Mountain Holdings, LLC | Ambulance | 5570 E. Lee Bird Drive, Northe Platte, NE 69101 | 2017-11-18 |
| 1396297503 | Karen L Gutherless | Counselor | 401 W Walker Road, North Platte, NE 69101 | 2016-11-04 |
| 1992165898 | Laren Alden Roper Jr. | Occupational Therapist | 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 | 2016-03-04 |
| 1669733085 | Stephanie Lynn Marcy | Anesthesiology | 601 W Leota Street, Anes: Anesthesiology, North Platte, NE 69101 | 2012-06-01 |
| 1033480470 | Wb Counseling LLC | Counselor | 319 E. B St., North Platte, NE 69101 | 2012-01-17 |
| 1306114962 | Amy J Kloess | Occupational Therapist | 8165 North Twin Lakes Rd, North Platte, NE 69101 | 2011-12-09 |
| 1043442312 | Derek Walrod | Dentist | 1225 South Poplar, Suite 500, North Platte, NE 69101 | 2009-08-20 |
| 1033374525 | Millie Erickson | Urology | 611 W. Francis St., Suite 200, North Platte, NE 69101 | 2008-07-23 |
| 1952586331 | West Central District Health Department | Public Health or Welfare | 111 North Dewey Street, North Platte, NE 69101 | 2008-01-04 |
| 1558579698 | Piper Dental Clinic | Dentist | 1919 West A Street, North Platte, NE 69101 | 2007-05-21 |
| Find all providers in zip 69101 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049013 | Eileen Marie Dineen | Nurse Practitioner | 14161 Franklin St, Omaha, NE 68154-3865 | 2018-07-06 |
| 1760857916 | Jerry A Patry | Nurse Practitioner | 7710 Mercy Rd Ste 509, Omaha, NE 68124-2346 | 2015-12-13 |
| 1124454475 | Melissa Rochelle Bowen | Nurse Practitioner | 4741 N 26th St, Ste D, Lincoln, NE 68521-4707 | 2013-09-18 |
| 1548693575 | Deborah J Moore | Nurse Practitioner | 2520 Avenue E, Scottsbluff, NE 69361-1673 | 2013-08-13 |
| 1386989218 | Rachel Nicole Fortney | Nurse Practitioner | 985330 Nebraska Medical Ctr, Room 40114, Omaha, NE 68198-5330 | 2012-12-04 |
| 1558617381 | Rhonda S Pettitt | Nurse Practitioner | 100 W Norfolk Ave, Norfolk, NE 68701-5340 | 2012-07-30 |
| 1649538448 | Deborah Lea Sheldon | Nurse Practitioner | 4111 4th Ave Ste 50, Kearney, NE 68845-2900 | 2012-04-30 |
| 1235497686 | Rhonda Doris Lange | Nurse Practitioner | 15720 N 1st St, Raymond, NE 68428-4164 | 2012-04-23 |
| 1649570250 | Sara Lynne Wolfson | Nurse Practitioner | 2104 S 110th St, Omaha, NE 68144-3115 | 2010-10-28 |
| 1114248069 | Mary Kay Gamble | Nurse Practitioner | 5755 Sorensen Pkwy, Omaha, NE 68152-2370 | 2010-06-15 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PLATTE |
| Zip Code | 69101 |
Please comment or provide details below to improve the information on MS. RENEE R 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.