MS. KIMBERLY MARIE SULLIVAN (NPI# 1417468893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417468893 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY MARIE SULLIVAN |
| Practice Address |
560 Cohasset Rd Ste 180 Chico CA 95926-2460 |
| Mailing Address |
3217 Cohasset Rd Chico CA 95973-5404 |
| Practice Telephone | 5308913277 |
| Mailing Telephone | 5308912986 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585763 | Kimberly Sullivan | Community/Behavioral Health | 5025 Hadley Meadow Ct, Las Vegas, NV 89131-5211 | 2019-12-17 |
| 1467976225 | Kimberly Ann Sullivan | Registered Nurse | 5517 Wichita Ave, Cleveland, OH 44144-3650 | 2017-08-02 |
| 1578977674 | Kimberly Sullivan | Occupational Therapist | 10148 Marshall Pond Rd, Burke, VA 22015-3730 | 2014-06-17 |
| 1871896142 | Kimberly Sullivan | Massage Therapist | 7860 Gate Pkwy Ste 105, Jacksonville, FL 32256-7280 | 2010-12-08 |
| 1225275746 | Kimberly Ann Sullivan | Marriage & Family Therapist | 9008 Elk Grove Blvd # 20, Elk Grove, CA 95624 | 2009-01-21 |
| 1336626159 | Kimberly Jarman Sullivan | Pharmacist | 403 Western Blvd, Jacksonville, NC 28546-6399 | 2018-07-24 |
| 1497244511 | Kimberly Paige Sullivan | Social Worker | 445 Winn Way, Decatur, GA 30030-1707 | 2018-05-03 |
| 1174070510 | Kimberly Ann Sullivan | Social Worker | 45 Wadsworth St, Hartford, CT 06106-7108 | 2016-09-01 |
| 1720462906 | Kimberly Afua Sullivan | Pharmacist | 7535 W Broadway Ave, Brooklyn Park, MN 55428-1287 | 2015-07-16 |
| 1770961005 | Kimberly Denise Sullivan | Registered Nurse | 11960 Westline Industrial Dr, Suite 201, Saint Louis, MO 63146-3209 | 2015-05-06 |
| Street Address |
560 COHASSET RD STE 180 |
| City | CHICO |
| State | CA |
| Zip Code | 95926-2460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841439429 | Reidun Lynne Waddell | Counselor | 560 Cohasset Rd Ste 180, Chico, CA 95926-2460 | 2009-02-05 |
| 1922605054 | Kenneth Eugene Snyder | Counselor | 560 Cohasset Rd Ste 180, Chico, CA 95926-2460 | 2020-10-01 |
| 1093321648 | Lisa Marie Hedemark | Counselor | 560 Cohasset Rd Ste 180, Chico, CA 95926-2460 | 2020-09-18 |
| 1124639828 | Jennifer Barrios | Counselor | 560 Cohasset Rd Ste 180, Chico, CA 95926-2460 | 2020-08-14 |
| 1689296071 | Chyanne Destiny Jean Jenkins | Counselor | 560 Cohasset Rd Ste 180, Chico, CA 95926-2460 | 2020-05-08 |
| 1053948174 | Heather Melanie Hoskins | Counselor | 560 Cohasset Rd Ste 180, Chico, CA 95926-2460 | 2020-03-26 |
| 1134750706 | Megan Danielle Canapary Sears | Licensed Vocational Nurse | 560 Cohasset Rd Ste 180, Chico, CA 95926-2460 | 2020-01-31 |
| 1417587841 | Donell Tramaine Thomas | Counselor | 560 Cohasset Rd Ste 180, Chico, CA 95926-2460 | 2020-01-24 |
| 1548803208 | Jeremy Martin Tietz | Counselor | 560 Cohasset Rd Ste 180, Chico, CA 95926-2460 | 2019-10-24 |
| 1710520747 | Janee Vue | Counselor | 560 Cohasset Rd Ste 180, Chico, CA 95926-2460 | 2019-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790250306 | Amy Groven | Counselor | 7 Williamsburg Lane, Chico, CA 95928 | 2018-10-10 |
| 1437624418 | Abram W Andersen | Counselor | 30 Landing Cir, Chico, CA 95973-7895 | 2018-10-05 |
| 1649752437 | Rebecca Ann Lacque | Counselor | 315 Wall St Ste 13, Chico, CA 95928-7800 | 2018-08-29 |
| 1770079691 | Brelynn Ashtyn Conn | Counselor | 572 Rio Lindo Ave Ste 206, Chico, CA 95926-1851 | 2018-07-03 |
| 1679075055 | Adrienne Mary Parker | Counselor | 1500 Normal Ave, Chico, CA 95928-6545 | 2018-03-01 |
| 1164940367 | Chris Stephen Jorgensen | Counselor | 301 Broadway St Ste 300, Chico, CA 95928-5321 | 2017-09-07 |
| 1760900724 | Judith Mercedes Sneed | Counselor | 1360 E. Lassen Ave, Chico, CA 95973 | 2017-08-30 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1134643497 | Stone Creek Counseling Center, Inc. | Counselor | 30 Landing Circle, Ste. 200, Chico, CA 95973 | 2017-07-28 |
| 1013379759 | Janet Servin-alejandre | Counselor | 130 Yellowstone Dr Ste 100, Chico, CA 95973-5884 | 2016-03-22 |
| Find all providers in CHICO | ||||
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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.