DR. CARLA ANN SULLIVAN (NPI# 1386920510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386920510 |
| Entity Type | Individual |
| Full Name | DR. CARLA ANN SULLIVAN |
| Credential | D.C. |
| Practice Address |
1535 47th Ave Suite 5 Moline IL 61265-7088 |
| Mailing Address |
2001 52nd Ave Ste 1 Moline IL 61265-6368 |
| Practice Telephone | 3097974203 |
| Mailing Telephone | 3097974203 |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2017-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038-012042 | IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720392517 | Carla Flemming Sullivan | Dentist | 3124 E 71st St, Ste 100, Tulsa, OK 74136-5626 | 2010-08-04 |
| 1841542941 | Carla Sullivan | Nurse Practitioner | 2601 Kentucky Ave, Suite 300, Paducah, KY 42003-3817 | 2012-10-12 |
| Street Address |
1535 47TH AVE SUITE 5 |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-7088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356854970 | Anette Svendsberget | Chiropractor | 1535 47th Ave, Suite 5, Moline, IL 61265 | 2017-11-06 |
| 1982964763 | Qc Wellness Center, LLC | Chiropractor | 1535 47th Ave, Suite 5, Moline, IL 61265-7088 | 2012-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737479 | Morgen Scroggins | Chiropractor | 1535 47th Ave Ste 5, Moline, IL 61265-7088 | 2019-02-28 |
| 1972067361 | Great River Family Wellness | Chiropractor | 1909 52nd Avenue, Moline, IL 61265-6126 | 2019-01-30 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1427582170 | Shawn Kurtis Duncan | Chiropractor | 1611 5th Ave, Moline, IL 61265-7905 | 2017-04-19 |
| 1689051823 | Authentic Health Center LLC | Chiropractor | 4703 16th St Ste J, Moline, IL 61265-7066 | 2015-04-27 |
| 1184981599 | James M Scranton | Chiropractor | 3471 Avenue of The Cities, Moline, IL 61265-4418 | 2012-04-23 |
| 1235402637 | Rock River Wellness, LLC | Chiropractor | 2201 52nd Ave, Moline, IL 61265-6371 | 2012-02-15 |
| 1447559935 | Wayne Davis Chiropractic Inc | Chiropractor | 1715 5th Ave A, Moline, IL 61265 | 2011-03-23 |
| 1083912190 | Hurst Chiropractic | Chiropractor | 4820 22nd Ave, Moline, IL 61265-3675 | 2011-03-14 |
| 1518293182 | Young Ki Son | Chiropractor | 3604 74th St, Moline, IL 61265-8015 | 2009-11-02 |
| Find all providers in MOLINE | ||||
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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.