SHELBY LYNNE SULLIVAN (NPI# 1407354087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407354087 |
| Entity Type | Individual |
| Full Name | SHELBY LYNNE SULLIVAN |
| Credential | CRNA |
| Practice Address |
275 Sandwich St Plymouth MA 02360-2183 |
| Practice Telephone | 5087462000 |
| Mailing Telephone | 5087462000 |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-12-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 118920 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 118920 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588165559 | Shelby Nicole Sullivan | Nurse Practitioner | 156 E 15th Ave, Gulf Shores, AL 36542-3516 | 2018-02-26 |
| 1851503999 | Shelby A Sullivan | Internal Medicine | 1635 Aurora Ct, Aurora, CO 80045-2541 | 2007-05-03 |
| Street Address |
275 SANDWICH ST |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-2183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184618910 | David Kelly | Specialist | 275 Sandwich St, Plymouth, MA 02360-2183 | 2005-09-08 |
| 1043879273 | Sarah Blais | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2019-06-11 |
| 1023572021 | Jessica M Olson | Advanced Practice Midwife | 275 Sandwich St, Plymouth, MA 02360-2183 | 2019-01-24 |
| 1275005134 | Victoria Turaman | Registered Nurse | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-12-17 |
| 1164907564 | Bethany Ison | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-10-02 |
| 1205319837 | Laurie Gilburne | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-09-10 |
| 1386126589 | Pamela Wood | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-09-04 |
| 1255819744 | Amy Jorud | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-08-06 |
| 1528544772 | Michaela Jean Butler | Physician Assistant | 275 Sandwich St, Plymouth, MA 02360-2183 | 2018-07-11 |
| 1992231716 | Carol Rains | Social Worker | 275 Sandwich St, Plymouth, MA 02360-2183 | 2017-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916165 | Benjamin Thomas Garbow | Nurse Anesthetist, Certified Registered | 14700 28th Avenue North, Plymouth, MN 55447 | 2020-09-14 |
| 1689737850 | Kevin Doherty | Nurse Anesthetist, Certified Registered | 275 Sandwich Road, Jordan Hospital, Plymouth, MA 02360 | 2006-12-19 |
| 1629176169 | Michael Roy Baldwin | Nurse Anesthetist, Certified Registered | 315 Eastwood Dr, Plymouth, IN 46563-7950 | 2006-09-20 |
| 1346251964 | Richard Harry Tee | Nurse Anesthetist, Certified Registered | 958 U.S. Hwy 64 East, Plymouth, NC 27962-9216 | 2006-08-10 |
| 1821090564 | Karin Kenyon | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2005-08-12 |
| 1801898747 | Linda A Parrillo | Nurse Anesthetist, Certified Registered | 40 Industrial Park Rd, Plymouth, MA 02360-4884 | 2005-08-11 |
| 1295735736 | Terrance Dean Copsey | Nurse Anesthetist, Certified Registered | 16 Hospital Rd, Plymouth, NH 03264-1126 | 2005-07-27 |
| 1548869662 | Allison Marie Beilke | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-10-20 |
| 1023617362 | Nickolas C Southwick | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-10-19 |
| 1689281123 | Joy A Okonye | Nurse Anesthetist, Certified Registered | 14700 28th Ave N Ste 20, Plymouth, MN 55447-4876 | 2020-09-29 |
| Find all providers in PLYMOUTH | ||||
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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.