ELIZABETH SULLIVAN (NPI# 1447861612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447861612 |
| Entity Type | Individual |
| Full Name | ELIZABETH SULLIVAN |
| Practice Address |
6049 Shallowford Rd Chattanooga TN 37421-1688 |
| Mailing Address |
201 W Springdale Ave Knoxville TN 37917-5158 |
| Practice Telephone | 4237634606 |
| Practice Fax Number | 4236341044 |
| Mailing Telephone | 8656379711 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947693 | Elizabeth Sullivan | Registered Nurse | 3001 Telegraph Ave Apt 301, Berkeley, CA 94705-2164 | 2020-09-21 |
| 1528445020 | Elizabeth Sullivan | Registered Nurse | 21 Lawrence Hill Rd, Huntington, NY 11743-3113 | 2015-05-04 |
| 1518378967 | Elizabeth Anne Sullivan | Student in an Organized Health Care Education/Training Program | 615 N 4th Ave, Durant, OK 74701-3907 | 2014-05-19 |
| 1164773479 | Elizabeth Ann Sullivan | Case Manager/Care Coordinator | 14 Cat Ridge Rd, North Salem, NY 10560-3300 | 2012-09-26 |
| 1659638195 | Elizabeth Ann-claire Sullivan | Psychologist | 4701 Morris St Ne Apt 601, Albuquerque, NM 87111-7715 | 2012-04-23 |
| 1629362645 | Elizabeth Ann Sullivan | Nurse Practitioner | 3915 Sherman Ave, Saint Joseph, MO 64506-3649 | 2011-06-07 |
| 1528262748 | Elizabeth A Sullivan | Counselor | 3012 Travis Ct, Midland, MI 48642-3969 | 2007-06-12 |
| 1265581631 | Elizabeth Ann Sullivan | Social Worker | 8245 20th Ave Ne, #4, Seattle, WA 98115-4407 | 2007-01-09 |
| 1881767614 | Elizabeth W Sullivan | Physical Therapist | 229 Saluda Springs Rd, Lexington, SC 29072 | 2006-11-17 |
| 1376655837 | Elizabeth A. Sullivan | Nurse Practitioner | 16268 Bennett Road, Uva Primary Care - Locust Grove, Culpeper, VA 22701 | 2006-08-31 |
| Street Address |
6049 SHALLOWFORD RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-1688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003200510 | Lesley Anne Wingate Crawford | Social Worker | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2015-03-23 |
| 1932719069 | Sharice Hill | Case Manager/Care Coordinator | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-08-04 |
| 1689299430 | Briana Nicole Wimsatt | Counselor | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-06-08 |
| 1508491655 | Alexis Amaya | Case Manager/Care Coordinator | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2020-03-10 |
| 1356984405 | Anna Rose Coyle | Peer Specialist | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2019-10-22 |
| 1033750146 | Tanya Southerland | Counselor | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2019-10-01 |
| 1124676671 | Farah M Cecil | Counselor | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2019-08-28 |
| 1003371816 | Brendin Rogers | Case Manager/Care Coordinator | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2019-02-06 |
| 1093279564 | Le'darius Shakir Tate | Case Manager/Care Coordinator | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2019-01-29 |
| 1336619428 | Jessica Bodenhamer | Specialist | 6049 Shallowford Rd, Chattanooga, TN 37421-1688 | 2018-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851920037 | Samit Sunny Roy | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste C-535, Chattanooga, TN 37403-2136 | 2020-04-08 |
| 1285195297 | Robert Chace Hicks | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste B401, Chattanooga, TN 37403-2136 | 2019-03-31 |
| 1427555309 | Michael S Tonzi | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste C535, Chattanooga, TN 37403-3333 | 2018-04-09 |
| 1265939268 | Marc Douglas Erickson | Student in an Organized Health Care Education/Training Program | 975 E 3rd St # 112, Chattanooga, TN 37403-2147 | 2018-04-07 |
| 1124525258 | Daniel T. Miles | Student in an Organized Health Care Education/Training Program | 975 E 3rd St # 260, Chattanooga, TN 37403-2147 | 2018-04-06 |
| 1861921470 | Jonathan Everett Burden | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 104, Chattanooga, TN 37403 | 2017-06-07 |
| 1073046561 | Cynthia Groves | Student in an Organized Health Care Education/Training Program | 706 Tiger Lily Trl, Chattanooga, TN 37415 | 2017-04-11 |
| 1619400751 | Elisabeth Cydnie Bedford Brenner | Student in an Organized Health Care Education/Training Program | 979 E 3rd St Ste C720, Chattanooga, TN 37403-3329 | 2017-04-05 |
| 1447782818 | Alyssa Denise Brown | Student in an Organized Health Care Education/Training Program | 9123 Berkshire Cir, Chattanooga, TN 37421-4444 | 2017-04-03 |
| 1194179523 | Franklin Brent Davis Jr. | Student in an Organized Health Care Education/Training Program | 960 E 3rd St Ste 202, Chattanooga, TN 37403-2104 | 2016-04-21 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on ELIZABETH SULLIVAN.
| 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.