MRS. GINA MARIE SULLIVAN (NPI# 1427392687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427392687 |
| Entity Type | Individual |
| Full Name | MRS. GINA MARIE SULLIVAN |
| Other Name | GINA MARIE ZLOTOCHA |
| Credential | APNP |
| Practice Address |
125 Hospital Dr Watertown WI 53098-3303 |
| Practice Telephone | 9203907575 |
| Mailing Telephone | 9203907575 |
| Enumeration Date | 2012-11-12 |
| Last Update Date | 2017-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 4989-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4989-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506100 | Gina M Sullivan | Spec/Tech, Health Info | 4235 County Road 2629, Caddo Mills, TX 75135-7476 | 2020-04-15 |
| 1801198361 | Gina Marie Sullivan | Health Educator | 245 N Murray St, Banning, CA 92220-5528 | 2010-12-03 |
| 1265750228 | Gina T Sullivan | Obstetrics & Gynecology | 33 Kendall St, Worcester, MA 01605-2726 | 2010-05-13 |
| Street Address |
125 HOSPITAL DR |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53098-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972505154 | Watertown Regional Medical Center, Inc | Home Health | 125 Hospital Dr, Watertown, WI 53098-3303 | 2005-06-01 |
| 1669940664 | Ashleigh Douglas | Nurse Anesthetist, Certified Registered | 125 Hospital Dr, Watertown, WI 53098-3303 | 2018-11-07 |
| 1336633080 | Sarah Sawall | Physical Therapist | 125 Hospital Dr, Watertown, WI 53098-3303 | 2018-06-17 |
| 1720592454 | Kristine Elizabeth Bennett | Dietitian, Registered | 125 Hospital Dr, Watertown, WI 53098-3303 | 2017-11-16 |
| 1033620810 | Sheridan Healthcare Services of Wisconsin, S.c. | Anesthesiology | 125 Hospital Dr, Watertown, WI 53098-3303 | 2017-10-19 |
| 1285173666 | Kynsea S Zylka | Dietitian, Registered | 125 Hospital Dr, Watertown, WI 53098-3303 | 2017-02-17 |
| 1952844599 | Melissa Monroe | Specialist/Technologist | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-11-30 |
| 1902355373 | Asta Gurklys | Physician Assistant | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-09-27 |
| 1619425741 | Teresa Price | Nurse Practitioner | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-09-19 |
| 1558818492 | Wisconsin Physician Services Sc | Emergency Medicine | 125 Hospital Dr, Watertown, WI 53098-3303 | 2016-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528558749 | Watertown Physician Practices LLC | Eyewear Supplier (Equipment, not the service) | 123 Hospital Dr Ste 2005, Watertown, WI 53098 | 2018-05-14 |
| 1851822076 | Fort Health Care Inc | Otolaryngology | 123 Hospital Dr Suite 106a, Watertown, WI 53098 | 2017-03-21 |
| 1598045692 | Bonnie Kay Peot | Licensed Practical Nurse | 1420 Wedgewood Drive, Watertown, WI 53098 | 2011-08-19 |
| 1275790404 | Kathy R. Adkins | Physical Therapy Assistant | 1020 Hill Street, Watertown, WI 53098 | 2008-05-16 |
| 1336361294 | Patrice Walter | Occupational Therapist | 125 Hospital Dr., Watertown, WI 53098 | 2007-05-02 |
| 1720161284 | Carolyn T Schneider-donley | Optometrist | 622 N. Church Street, Watertown, WI 53098 | 2006-10-20 |
| 1730156431 | Mohamed H Yafai | Internal Medicine | 123 Hospital Drive, Suite 2009, Watertown, WI 53098 | 2006-03-02 |
| 1093711236 | Dana M. Fields | Physician Assistant | 134 Hospital Drive, Watertown, WI 53098 | 2005-06-22 |
| 1528560018 | Watertown Medical Center LLC | Psychiatric Unit | 125 Hospital Drive, Watertown, WI 53098 | 2018-03-01 |
| 1093997355 | Kristin Elizabeth Hanington Erickson | Physician Assistant | 132 Hospital Dr, Watertown, WI 53098 | 2007-11-28 |
| Find all providers in zip 53098 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772702 | Ashley Zimmerman | Nurse Practitioner | W316s2978 Short Rd, Waukesha, WI 53188-9120 | 2020-08-27 |
| 1073141495 | Judith Hummel | Nurse Practitioner | 18125 Prairie Falcon Ln, Brookfield, WI 53045-6316 | 2020-03-31 |
| 1982258828 | Amanda Nesta | Nurse Practitioner | 1812 E Howard Ave, Milwaukee, WI 53207-4000 | 2019-07-29 |
| 1720591035 | Kelyn Marie Levy | Nurse Practitioner | 9200 W Wisconsin Ave Ste 5200, Milwaukee, WI 53226-3522 | 2017-11-08 |
| 1376087775 | Connie Endvick | Nurse Practitioner | 425 Pine Ridge Blvd Ste 200, Wausau, WI 54401-4123 | 2016-12-05 |
| 1538545728 | Katherine Lee Alvarez | Nurse Practitioner | 3200 Pleasat Valley Road, West Bend, WI 53095-9274 | 2015-08-11 |
| 1821475120 | Amin Namazi | Nurse Practitioner | 725 American Ave., Prohealth Care Waukesha Memorial Hospital, Waukesha, WI 53188-5099 | 2015-05-06 |
| 1356775183 | Urvil M Patel | Nurse Practitioner | 4025 N 92 St., Wauwatosa, WI 53222 | 2013-08-28 |
| 1295008399 | Amanda Fischer | Nurse Practitioner | 2435 Sumac Dr, Racine, WI 53402-1487 | 2012-02-21 |
| 1801124904 | Jennifer Ottelien | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy Ste 300, Milwaukee, WI 53215-3660 | 2009-12-01 |
| Find all providers with the same taxonomy | ||||
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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.