MS. COLLEEN JEAN SULLIVAN (NPI# 1366715559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366715559 |
| Entity Type | Individual |
| Full Name | MS. COLLEEN JEAN SULLIVAN |
| Credential | LPN |
| Practice Address |
173 Mutton Ln Apt 2 East Weymouth MA 02189-2434 |
| Practice Telephone | 5087283686 |
| Mailing Telephone | 5087283686 |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2012-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LN67421 | MA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348119 | Colleen Marie Sullivan | Student in an Organized Health Care Education/Training Program | 42 Mill St, Apartment 2, Dudley, MA 01571-3373 | 2013-11-29 |
| 1770916959 | Colleen Marie Sullivan | Nurse Practitioner | 12 Biltmore Ave, Chelmsford, MA 01824-3202 | 2013-08-12 |
| 1891013785 | Colleen Sullivan | Pharmacist | 31 Garden Rd, Plaistow, NH 03865-2933 | 2010-05-17 |
| 1891764486 | Colleen J Sullivan | Registered Nurse | 142 E Van Buren St, Port Washington, WI 53074-1613 | 2006-03-16 |
| 1487298865 | Colleen Marie Sullivan | Counselor | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-10-29 |
| 1437702594 | Colleen Elizabeth Sullivan | Social Worker | 1011 Bingham St, Pittsburgh, PA 15203-1101 | 2019-07-18 |
| 1962947721 | Colleen Sullivan | Behavior Technician | 53869 Connor Dr, Chesterfield, MI 48051-3930 | 2017-01-03 |
| 1508300732 | Colleen Marie Sullivan | Occupational Therapist | 101 W 116th St, New York, NY 10026-2521 | 2016-12-07 |
| 1396111423 | Colleen Marie Sullivan | Pharmacist | 11449 W Palmetto Park Rd, Boca Raton, FL 33428-2659 | 2015-08-12 |
| 1003241613 | Colleen Blair Sullivan | Student in an Organized Health Care Education/Training Program | 9706 4th Ave Ne Ste 303, Northgate, Seattle, WA 98115-2199 | 2013-09-13 |
| Street Address |
173 MUTTON LN APT 2 |
| City | EAST WEYMOUTH |
| State | MA |
| Zip Code | 02189-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205300985 | M. Taylor Fontneau | Nurse Practitioner | 90 Libbey Industrial Pkwy Ste 106, Weymouth, MA 02189 | 2019-01-16 |
| 1336668011 | Svetlana Chentsova | Nurse Practitioner | 51 Performance Dr Fl Drive, Weymouth, MA 02189 | 2017-09-14 |
| 1518487818 | Dana Shepherd | Specialist/Technologist | 163 Libbey Industrial Parkway, Suite 302, Weymouth, MA 02189 | 2017-06-27 |
| 1063867802 | Gerald F. Finerty IIi | Nurse Anesthetist, Certified Registered | 163 Libbey Pkwy Ste 301, Weymouth, MA 02189 | 2016-04-29 |
| 1417326604 | Ocean State Urgent Care | Physician Assistant | 119 Liberty Bell Cir, Weymouth, MA 02189 | 2015-09-18 |
| 1558746636 | Jaime Hill | Nurse Practitioner | 31 Charles Street, Weymouth, MA 02189 | 2015-07-30 |
| 1780865337 | James Tyler Carpenter | Psychologist | Neurobehavioral Associates, 169 Libbey Parkway, 2nd Floor, Weymouth, MA 02189 | 2007-11-23 |
| 1508054248 | Anita Nathan Shukla | Ophthalmology | 97 Libbey Industrial Parkway, Suite 100, E. Weymouth, MA 02189 | 2007-10-09 |
| 1164618757 | Mahesh Pandey | Internal Medicine | Dana Farber Community Cancer Care, 51 Performance Drive, Suite 110, Weymouth, MA 02189 | 2007-09-18 |
| 1750573887 | Michele Donlon | Speech-Language Pathologist | 163 Libbey Industrial Pkwy Ste 302, Weymouth, MA 02189 | 2007-08-13 |
| Find all providers in zip 02189 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556267 | Stephanie Marie Murphy | Licensed Practical Nurse | 35 Admiral Halsey Rd, Plymouth, MA 02360-1815 | 2020-10-22 |
| 1003423336 | Miladys Reyes | Licensed Practical Nurse | 1 General St Fl 4, Lawrence, MA 01841-2961 | 2020-09-30 |
| 1902413073 | Ruchama T Leconte | Licensed Practical Nurse | 898 Read St, Attleboro, MA 02703-6199 | 2020-09-23 |
| 1780299131 | Amanda Marie Holland | Licensed Practical Nurse | 1 Carleton Rd, Plainville, MA 02762-2401 | 2020-09-12 |
| 1689285330 | Kizzy Akeeyaha Guyton | Licensed Practical Nurse | 191 Meadow St, Carver, MA 02330-1524 | 2020-08-14 |
| 1700497096 | Monica Lynn Glasgow | Licensed Practical Nurse | 21 Kenwood St, Greenfield, MA 01301-1973 | 2020-08-11 |
| 1184234841 | Karen Yvonne Harris | Licensed Practical Nurse | 1000 Harvard St Apt 16, Boston, MA 02126-1405 | 2020-08-06 |
| 1316557580 | Teresah Nyaga | Licensed Practical Nurse | 10 Overlook Trl Apt 10211, Peabody, MA 01960-8840 | 2020-08-03 |
| 1073122487 | Evelyn Chacon | Licensed Practical Nurse | 10 Oakland Ave Apt 1, Attleboro, MA 02703-3581 | 2020-07-31 |
| 1225647530 | Lauren Taylor Robbins | Licensed Practical Nurse | 21 Centennial Drive Apt. #3, Norwood, MA 02062 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | EAST WEYMOUTH |
| Zip Code | 02189 |
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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.