MRS. AMANDA MARIE SULLIVAN (NPI# 1407121221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407121221 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA MARIE SULLIVAN |
| Other Name | MISS AMANDA MARIE MATTSON |
| Credential | L.P.N, |
| Practice Address |
610 N Main St Fall River WI 53932-9570 |
| Practice Telephone | 9203825666 |
| Mailing Telephone | 9203825666 |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 304840-31 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275878183 | Amanda J Sullivan | Physical Therapy Assistant | 71 Millard Rd, North Attleboro, MA 02760-4407 | 2012-12-04 |
| 1912291436 | Amanda Sullivan | Licensed Practical Nurse | 364 Lake Marie Rd, Liberty, NY 12754-2924 | 2011-06-01 |
| 1750613576 | Amanda K Sullivan | Speech-Language Pathologist | 9307 N 3rd Dr, Phoenix, AZ 85021-3555 | 2010-02-03 |
| 1447483458 | Amanda L Sullivan | Counselor | 770 N Cotner Blvd Ste 330, Lincoln, NE 68505-2377 | 2009-08-25 |
| 1447208491 | Amanda Clare Sullivan | Acupuncturist | 5 Bon Air Rd Ste 109, Larkspur, CA 94939-1137 | 2006-05-04 |
| 1730141151 | Amanda Leigh Sullivan | Specialist/Technologist | 8229 Clayton Rd, Suite 204, Saint Louis, MO 63117-1155 | 2006-04-03 |
| 1093349672 | Amanda Sullivan | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2020-02-24 |
| 1851941280 | Amanda Sullivan | Counselor | 74 East St, Plainville, CT 06062-2367 | 2019-09-17 |
| 1033766415 | Amanda Anne Sullivan | Pharmacist | 801 E Sunset Dr, Waukesha, WI 53189-7816 | 2019-08-21 |
| 1386207462 | Amanda Sullivan | Occupational Therapist | 6811 Campfield Rd, Baltimore, MD 21207-4657 | 2019-04-15 |
| Street Address |
610 N MAIN ST |
| City | FALL RIVER |
| State | WI |
| Zip Code | 53932-9570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609060003 | Fall River School District | Local Education Agency (LEA) | 150 Bradley Street, Fall River, WI 53932 | 2007-08-29 |
| 1083780670 | Rubert Chiropractic Ltd | Chiropractor | W1185 Mccrae Rd, Fall River, WI 53932 | 2006-11-27 |
| 1336215920 | Jill Ann Rubert | Chiropractor | W1185 Mccrae Rd, Fall River, WI 53932 | 2006-11-27 |
| 1144425976 | Brenda Lee Klingaman | Respiratory Therapist, Certified | W758 Norway Dr, Fall River, WI 53932-8919 | 2007-06-20 |
| 1437410644 | Rebecca L Kelly | Occupational Therapy Assistant | 160 Deer Run Dr, Fall River, WI 53932-8934 | 2012-06-05 |
| 1578552923 | Fall River Community Fire District | Ambulance | 450 South St, Fall River, WI 53932-9404 | 2005-10-18 |
| 1750686309 | Pamela Susan Fisk | Registered Nurse | 652 N Main St, Fall River, WI 53932-9570 | 2011-01-12 |
| 1154497741 | Sara Jane Rubert | Chiropractor | W1185 Mccrae Rd, Fall River, WI 53932-9575 | 2006-11-27 |
| 1932581410 | Aaron Michael Benzine | Chiropractor | W1185 Mccrae Rd, Fall River, WI 53932-9575 | 2015-06-22 |
| 1457524043 | Joanne Regine Kurlinski | Speech-Language Pathologist | 411 South St, Fall River, WI 53932-9708 | 2008-04-04 |
| Find all providers in zip 53932 | ||||
| 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 |
|---|---|---|---|---|
| 1225686801 | Linda Hadad | Licensed Practical Nurse | 649 Alden St Apt 221, Fall River, MA 02723-1828 | 2019-08-28 |
| 1891038840 | Stacey Lee Wakefield | Licensed Practical Nurse | 120 Lewin St Apt 42, Fall River, MA 02720-6815 | 2013-03-28 |
| 1205035532 | Dawn Marie Owen | Licensed Practical Nurse | 155 Grant Street, Apt 1, Fall River, MA 02721-1238 | 2007-07-17 |
| 1073891487 | Jodie Medeiros | Licensed Practical Nurse | 387 Quarry St, Suite 100, Fall River, MA 02723-1025 | 2011-08-02 |
| 1033497797 | Diana Moniz | Licensed Practical Nurse | 387 Quarry St, Suite 100, Fall River, MA 02723-1025 | 2011-07-29 |
| 1821376575 | Linda Medeiros | Licensed Practical Nurse | 387 Quarry St, Suite 100, Fall River, MA 02723-1025 | 2011-07-29 |
| 1720366495 | Kayla Silva | Licensed Practical Nurse | 387 Quarry St, Suite 100, Fall River, MA 02723-1025 | 2011-07-29 |
| 1073891743 | Evan M Whalley | Licensed Practical Nurse | 387 Quarry St, Suite100, Fall River, MA 02723-1025 | 2011-07-29 |
| 1952689606 | Jason Camara | Licensed Practical Nurse | 387 Quarry St, Suite 100, Fall River, MA 02723-1025 | 2011-07-29 |
| 1679608731 | Patricia A Boucher-fortin | Licensed Practical Nurse | 49 Hillside St, Fall River, MA 02720-5211 | 2007-02-22 |
| Find all providers in FALL RIVER | ||||
| City | FALL RIVER |
| Zip Code | 53932 |
Please comment or provide details below to improve the information on MRS. AMANDA MARIE 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.