MEGHAN DOEPKE SULLIVAN (NPI# 1487160586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487160586 |
| Entity Type | Individual |
| Full Name | MEGHAN DOEPKE SULLIVAN |
| Credential | CPNP-PC |
| Practice Address |
1030 N Clark St Ste 400 Chicago IL 60610-5468 |
| Mailing Address |
3522 N Racine Ave Chicago IL 60657-7890 |
| Practice Telephone | 3129436964 |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
209017049 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437633104 | Meghan Sullivan | Counselor | 6515 Hot Springs Way Apt B, Indianapolis, IN 46217-5238 | 2018-09-19 |
| 1699386771 | Meghan Nicole Sullivan | Physical Therapy Assistant | 301 Camino Gardens Blvd Ste 104, Boca Raton, FL 33432-5823 | 2020-08-12 |
| 1295378107 | Meghan Sullivan | Behavior Technician | 5943 Stadium Dr, Kalamazoo, MI 49009-3016 | 2019-10-23 |
| 1083268601 | Meghan Sullivan | Dietitian, Registered | 56 Franklin St, Waterbury, CT 06706-1253 | 2019-07-31 |
| 1639721590 | Meghan Marie Sullivan | Nurse Practitioner | 95 Sargent St, Belchertown, MA 01007-9881 | 2019-07-11 |
| 1174031462 | Meghan Kearns Sullivan | Nurse Practitioner | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2018-01-20 |
| 1720450588 | Meghan Sullivan | Psychologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2015-10-20 |
| 1205222841 | Meghan Elizabeth Sullivan | Specialist/Technologist | 1000 Hilltop Cir, Rac 221, Baltimore, MD 21250-0001 | 2015-04-10 |
| 1740694074 | Meghan Sullivan | Nurse Practitioner | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2014-06-14 |
| 1316357098 | Meghan F Sullivan | Social Worker | 300 Longwood Ave, Farley 1, Boston, MA 02115-5724 | 2014-05-02 |
| Street Address |
1030 N CLARK ST STE 400 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60610-5468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683145 | Roslyn M Jordan | Counselor | 860 N. Lasalle, Chicago, IL 60610 | 2019-11-15 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| 1477053205 | Terri Lynn Tyson | Counselor | 1250 N. Dearborn St., 18b, Chicago, IL 60610 | 2018-02-19 |
| 1487153797 | Jennifer Quinn | Social Worker | 1200 N. Lasalle Street, Chicago, IL 60610 | 2018-02-02 |
| 1811415334 | Erin Conroy | Behavioral Analyst | 1400 North Lake Shore Drive Apt 8a, Chicago, IL 60610 | 2017-09-05 |
| 1659898674 | Courtney Jane Busing | Speech-Language Pathologist | 1211 N Lasalle, 903, Chicago, IL 60610 | 2017-08-30 |
| 1528503042 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 908 North State Street, Chicago, IL 60610 | 2016-12-20 |
| 1548702814 | Melissa Snyder | Counselor | 1820 N Lasalle Blvd, Counseling- Sweeting, Chicago, IL 60610 | 2016-11-17 |
| 1982146908 | Samantha Ruth Slagh | Physical Therapist | 1100 N Lasalle Street, Apt 1018, Chicago, IL 60610 | 2016-11-08 |
| 1891242426 | Stephanie Pinsler | Counselor | 100 W Chestnut, #1907, Chicago, IL 60610 | 2016-09-01 |
| Find all providers in zip 60610 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669937231 | Colleen Ann Larkin | Nurse Practitioner | 10939 S Troy St, Chicago, IL 60655-2211 | 2019-02-07 |
| 1366955940 | Debra Chana Goldstein | Nurse Practitioner | 2732 W Chase Ave, Chicago, IL 60645-1313 | 2017-11-06 |
| 1588189260 | Larissa Marie Schulze | Nurse Practitioner | 737 N Michigan Ave Ste 820, Chicago, IL 60611-6659 | 2017-08-03 |
| 1164887295 | Meredith Murphy Mcintee | Nurse Practitioner | 5841 S Maryland Ave # Mc4065, Chicago, IL 60637-1443 | 2015-12-16 |
| 1215345442 | Tara Seider | Nurse Practitioner | 2707 W Ainslie St, Unit #3, Chicago, IL 60625-2715 | 2014-07-31 |
| 1447697982 | Emily Thurn | Nurse Practitioner | 225 E Chicago Ave Box 29, Chicago, IL 60611-2605 | 2013-05-23 |
| 1518231505 | Julianne Deschler Bertalmio | Nurse Practitioner | 1460 N. Halsted Street, Suite 402, Chicago, IL 60642 | 2012-03-08 |
| 1932478765 | Julie Elizabeth Martin | Nurse Practitioner | 225 E Chicago, 4 Ne, Chicago, IL 60611-2605 | 2011-12-22 |
| 1245532480 | Alexandra Wilson Benz | Nurse Practitioner | 225 E Chicago Ave # 93, Chicago, IL 60611-2991 | 2010-11-20 |
| 1568770550 | Truc Vo | Nurse Practitioner | 225 E Chicago Ave # 57, Chicago, IL 60611 | 2010-09-23 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on MEGHAN DOEPKE 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.