DR. SANDRA JANE SULLIVAN (NPI# 1457468241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457468241 |
| Entity Type | Individual |
| Full Name | DR. SANDRA JANE SULLIVAN |
| Credential | DC |
| Practice Address |
2929 N Galloway Ave Ste 109 Mesquite TX 75150-6364 |
| Practice Telephone | 9722705700 |
| Practice Fax Number | 9722700047 |
| Mailing Telephone | 9722705700 |
| Mailing Fax Number | 9722700047 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6121 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PROVIDER # | 606007 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073851663 | Sandra Judd Sullivan | Psychologist | 155 Bovet Rd, Suite 404, San Mateo, CA 94402-3108 | 2013-01-16 |
| 1588963490 | Sandra Sullivan | Physician Assistant | 3497 Duluth Park Ln, Suite 200, Duluth, GA 30096-3227 | 2011-03-17 |
| 1366744286 | Sandra Sullivan | Registered Nurse | 50 Sanatorium Rd, Bldg F, Pomona, NY 10970-3555 | 2010-11-29 |
| 1639487952 | Sandra Eberle Sullivan | Nurse Practitioner | 320 Santa Fe Dr, Suite 308, Encinitas, CA 92024-5138 | 2010-09-21 |
| 1154541639 | Sandra Sullivan | Registered Nurse | 1207 E Herndon Ave, Fresno, CA 93720-3235 | 2007-04-26 |
| 1225253909 | Sandra Kay Sullivan | Counselor | 670 Placerville Dr Ste 2, Placerville, CA 95667-4200 | 2007-04-16 |
| 1700913035 | Sandra J Sullivan | Dietitian, Registered | 900 Main St, Oakville, CT 06779-1999 | 2007-02-27 |
| 1003967407 | Sandra J Sullivan | Physician Assistant | 41 Mall Rd, Burlington, MA 01805-0001 | 2007-01-15 |
| 1386733574 | Sandra K Sullivan | Nurse Practitioner | 1613 N Mills Ave, Orlando, FL 32803-1849 | 2006-10-12 |
| 1770524829 | Sandra E Sullivan | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-06-09 |
| Street Address |
2929 N GALLOWAY AVE STE 109 |
| City | MESQUITE |
| State | TX |
| Zip Code | 75150-6364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871809053 | Biggs Chiropractic, P.C. | Chiropractor | 2929 N Galloway Ave, Ste 109, Mesquite, TX 75150-6364 | 2010-08-25 |
| 1366691123 | Sullivan Chiropractic Centers, P.a. | Chiropractor | 2929 N Galloway Ave, Ste 109, Mesquite, TX 75150-4800 | 2008-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630991 | Affordable Home Health Care | Home Health | 3637 E. Us. Highway 80, Mesquite, TX 75150 | 2020-08-21 |
| 1245840933 | Shanikqu Lashun George | Specialist | 1515 N. Towneast Blvd., Suite 19, Mesquite, TX 75150 | 2020-08-06 |
| 1578109542 | Phyllis Renee Cephas | Counselor | 2200 N. Belt Line Road, #728, Mesquite, TX 75150 | 2019-11-25 |
| 1033766068 | Darryl E Richmond Jr. | Physical Therapist | 2578 N Galloway Ave, 100, Mesquite, TX 75150 | 2019-08-23 |
| 1922666916 | Jd Mesquite Dental Pllc | Dentist | 909 Tripp Rd Ste 190, Mesquite, TX 75150 | 2019-06-04 |
| 1134681349 | Champions Rehabilitation, LLC | Clinic/Center | 1675 Republic Parkway Suite 201, Mesquite, TX 75150 | 2019-04-05 |
| 1205317351 | Sheila Katherine Bartley | Occupational Therapist | 3617 O'hare Dr., Mesquite, TX 75150 | 2018-08-27 |
| 1295215028 | Amanda Greene | Occupational Therapy Assistant | 3617 Ohare Drive, Mequite, TX 75150 | 2018-08-21 |
| 1053890244 | Barbara Mohrle | Occupational Therapist | 2231 Us Highway 80e, Willow Bend Nursing and Rehab, Mesquite, TX 75150 | 2018-08-09 |
| 1679052120 | Brenda Johnson | Counselor | 4025 Towne Crossing Blvd Apt 1706, Mesquite, TX 75150 | 2018-08-07 |
| Find all providers in zip 75150 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366006678 | Erika Kemiko Lee | Chiropractor | 2620 Gus Thomasson Rd Ste 102, Mesquite, TX 75150-5417 | 2019-04-23 |
| 1548781628 | Sandi Mckey | Chiropractor | 1220 N Town East Blvd Ste 250, Mesquite, TX 75150-4682 | 2017-06-29 |
| 1922490978 | Andrew Kubosumi | Chiropractor | 945 S Bryan Belt Line Rd Ste 200, Mesquite, TX 75149-5080 | 2015-02-28 |
| 1942607866 | Thien Van Tran | Chiropractor | 2620 Gus Thomasson Rd., Suite 102, Mesquite, TX 75150 | 2014-11-20 |
| 1225451230 | Mohammad Alexander Heidari | Chiropractor | 3334 N. Town East Blvd., #102, Mesquite, TX 75150 | 2014-01-27 |
| 1083036412 | Jessica Pempek | Chiropractor | 3334 N Town East Blvd Ste 102, Mesquite, TX 75150-3800 | 2014-01-21 |
| 1356762496 | Functional Movement Chiropractic | Chiropractor | 1331 Us Highway 80 E Ste 10, Mesquite, TX 75150-5709 | 2013-12-16 |
| 1548515430 | Asa Hadsell | Chiropractor | 1331 Hwy 80 E, Ste 10, Mesquite, TX 75150-5712 | 2012-07-17 |
| 1942505995 | James Leslie Younghusband Jr. | Chiropractor | 323 S. Bryan-beltline, Mesquite, TX 75149-4663 | 2011-01-24 |
| 1427210061 | Ryan J Fuson | Chiropractor | 3501 Gus Thomasson Rd, Mesquite, TX 75150-3699 | 2008-06-25 |
| Find all providers in MESQUITE | ||||
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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.