DR. NATALIE JEAN SULLIVAN (NPI# 1407311640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407311640 |
| Entity Type | Individual |
| Full Name | DR. NATALIE JEAN SULLIVAN |
| Other Name | NATALIE JEAN SANDER |
| Credential | PHD, CCC-SLP |
| Practice Address |
3760 Convoy St Ste 204 San Diego CA 92111-3744 |
| Mailing Address |
772 Denise Ln El Cajon CA 92020-6413 |
| Practice Telephone | 8585140375 |
| Mailing Telephone | 7572897670 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 27904 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905053 | Natalie Sullivan | Speech-Language Pathologist | 1130 Ten Rod Rd Ste F101, North Kingstown, RI 02852-4170 | 2020-09-04 |
| 1952954109 | Natalie Sullivan | Behavior Technician | 11650 Iberia Pl Ste 130, San Diego, CA 92128-2431 | 2019-07-17 |
| 1932631694 | Natalie Sullivan | Student in an Organized Health Care Education/Training Program | 2150 Pennsylvania Ave Nw, The Gw Medical Faculty Associates, Washington, DC 20037-3201 | 2017-03-31 |
| 1770844375 | Natalie Sullivan | Home Health Aide | 821 Kennedy St Nw, Washington, DC 20011-2913 | 2012-05-31 |
| Street Address |
3760 CONVOY ST STE 204 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-3744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518146067 | Arlin C Libertino | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2007-11-01 |
| 1265086243 | Rebecca Edith Buza | Occupational Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2019-07-29 |
| 1164926218 | Katherine Joan Simmons | Speech-Language Pathologist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2018-03-22 |
| 1881114163 | Cynthia Yonan | Speech-Language Pathologist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-06-27 |
| 1538689013 | Anna Magnuson | Occupational Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-06-26 |
| 1336677889 | Brian R White | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-05-29 |
| 1265960991 | Catherine Rostan | Speech-Language Pathologist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-05-25 |
| 1811425549 | Casey Elizabeth Converse | Occupational Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-05-25 |
| 1982145397 | Kelly Tyler | Occupational Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-03-17 |
| 1679010151 | Krystle Desquitado | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605898 | Little Rose Speech Therapy, Inc. | Speech-Language Pathologist | 11990 Stoney Peak Dr Apt 1106, San Diego, CA 92128-6481 | 2020-10-05 |
| 1710594122 | Chelsea A Johnson | Speech-Language Pathologist | 325 W Washington St Ste 2-143, San Diego, CA 92103-1946 | 2020-09-29 |
| 1770195083 | Emma Kotsher | Speech-Language Pathologist | 2081 Cable St, San Diego, CA 92107-2573 | 2020-08-18 |
| 1891310165 | Ingrid Wolfer Exerjian | Speech-Language Pathologist | 1844 Malden St, San Diego, CA 92109-2208 | 2020-06-12 |
| 1326663014 | Fernanda Manriquez | Speech-Language Pathologist | 2751 Roosevelt Rd # 205, San Diego, CA 92106-6180 | 2020-06-09 |
| 1588288567 | Samantha Sandler | Speech-Language Pathologist | 2975 Euclid Ave Apt 10, San Diego, CA 92105-3690 | 2020-06-04 |
| 1225652910 | Laura L Kishaba | Speech-Language Pathologist | 13343 Samantha Ave, San Diego, CA 92129-2164 | 2020-05-29 |
| 1003436643 | Carrie Chouinard | Speech-Language Pathologist | 7836 Mission Montana Pl, San Diego, CA 92120-1543 | 2020-04-23 |
| 1801424023 | Chelsey Jean Krug | Speech-Language Pathologist | 9114 Flanders Dr, San Diego, CA 92126-2827 | 2020-04-01 |
| 1104452978 | Joyride Therapeutic Adventures | Speech-Language Pathologist | 3064 Thorn St, San Diego, CA 92104-4639 | 2020-03-12 |
| Find all providers in SAN DIEGO | ||||
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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.