MS. MAUREEN SULLIVAN (NPI# 1427010057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427010057 |
| Entity Type | Individual |
| Full Name | MS. MAUREEN SULLIVAN |
| Credential | CNM, WHNP |
| Practice Address |
1919 Lathrop St Suite 217 Fairbanks AK 99701-5937 |
| Mailing Address |
1919 Lathrop St Ste 222 Fairbanks AK 99701-5942 |
| Practice Telephone | 9074568191 |
| Practice Fax Number | 9074568192 |
| Mailing Telephone | 9074568191 |
| Mailing Fax Number | 9074568192 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2016-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
F420761-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367A00000X | Advanced Practice Midwife | 1085 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | APN36126 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | F001104-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02494035 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447765854 | Maureen Rose Sullivan | Counselor | 32 Linden St, Braintree, MA 02184-2033 | 2017-12-07 |
| 1386067437 | Maureen Sullivan | Counselor | 37 Burke Creek Cir, Stateline, NV 89449 | 2014-01-27 |
| 1033411632 | Maureen Sullivan | Registered Nurse | 28-11 Queens Plaza, Lic, NY 11101 | 2010-12-02 |
| 1447572748 | Maureen Sullivan | Nurse Practitioner | 4886 Clifton Pkwy, Hamburg, NY 14075-3302 | 2010-02-27 |
| 1760629075 | Maureen Ann Sullivan | Speech-Language Pathologist | 1714 Watson Ct, Carlsbad, NM 88220-4172 | 2009-01-09 |
| 1871768226 | Maureen Michele Sullivan | Chiropractor | 200 Seabrook Rd, Tequesta, FL 33469-3032 | 2008-04-28 |
| 1679753610 | Maureen Anne Sullivan | Licensed Practical Nurse | 105 Krystal Dr, Somers, NY 10589-3038 | 2007-11-07 |
| 1912128836 | Maureen A. Sullivan | Psychologist | 118 N Murray Hall, Stillwater, OK 74078-3064 | 2007-05-01 |
| 1487783866 | Maureen N Sullivan | Physical Therapist | 62 Knollwood Ave, Huntington, NY 11743-3430 | 2007-03-03 |
| 1104892835 | Maureen L Sullivan | Radiology | 8300 W Sunrise Blvd, Plantation, FL 33322-5406 | 2006-02-23 |
| Street Address |
1919 LATHROP ST SUITE 217 |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-5937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699774299 | Letha C Archer | Pediatrics | 1919 Lathrop St, Suite 100, Fairbanks, AK 99701-5937 | 2005-07-18 |
| 1245708668 | Tanana Valley Clinic LLC | Clinic/Center | 1919 Lathrop St, Fairbanks, AK 99701-5937 | 2018-11-03 |
| 1275084626 | Jeffrey W. Kilgore Dmd PC | Dentist | 1919 Lathrop St, Ste: 211, Fairbanks, AK 99701-5937 | 2016-10-20 |
| 1992256341 | Otter Dental | Dentist | 1919 Lathrop St, Suite 211, Fairbanks, AK 99701-5937 | 2016-10-20 |
| 1467909218 | Rebecca Rengel | Physical Therapist | 1919 Lathrop St, Ste 123, Fairbanks, AK 99701-5937 | 2016-09-08 |
| 1538613203 | Brent Little | Physical Therapist | 1919 Lathrop St, Suite 123, Fairbanks, AK 99701-5937 | 2016-08-10 |
| 1396298626 | Nicholas Nzioka Ndetti Jr. | Pharmacist | 1919 Lathrop St, Suite 109, Fairbanks, AK 99701-5937 | 2016-08-03 |
| 1366829699 | Karolina Priebe | Nurse Practitioner | 1919 Lathrop St, Suite 101, Fairbanks, AK 99701-5937 | 2015-05-06 |
| 1124405618 | David Boyd | Specialist/Technologist | 1919 Lathrop St, Suite 123, Fairbanks, AK 99701-5937 | 2015-05-04 |
| 1679903140 | Heidi Wood | Physical Therapist | 1919 Lathrop St, #123, Fairbanks, AK 99701-5937 | 2013-11-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503705 | Clarissa Lynn Christensen | Advanced Practice Midwife | 1867 Airport Way Ste 160b, Fairbanks, AK 99701-4062 | 2019-11-21 |
| 1073671822 | Georgann Mcbrayer | Advanced Practice Midwife | 930 Ellesmere Dr, Fairbanks, AK 99709-9970 | 2006-12-05 |
| 1114557279 | Matthew Petcoff | Advanced Practice Midwife | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2020-01-16 |
| 1346754207 | Caroline Tautz Hutto | Advanced Practice Midwife | 3550 Airport Way Ste 4, Fairbanks, AK 99709 | 2017-11-29 |
| 1710402805 | Heidi Anna May | Advanced Practice Midwife | 1919 Lathrop St Ste 222, Fairbanks, AK 99701-5942 | 2017-08-09 |
| 1548796261 | Courtney Michelle Amundson | Advanced Practice Midwife | 1919 Lathrop St Ste 222, Fairbanks, AK 99701-5942 | 2017-05-02 |
| 1003289265 | Caroline Byrd Paganoni | Advanced Practice Midwife | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2015-11-09 |
| 1306260443 | Julie Moon | Advanced Practice Midwife | 2054 30th Ave, Fairbanks, AK 99701-7316 | 2014-02-10 |
| 1821340142 | Kristen M Sublett | Advanced Practice Midwife | 1717 W. Cowles St., Fairbanks, AK 99701 | 2012-10-10 |
| 1003162181 | Dianna Elkenbaum Kristeller | Advanced Practice Midwife | 1001 Noble St, Fairbanks, AK 99701-4948 | 2012-07-26 |
| Find all providers in FAIRBANKS | ||||
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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.