DEBORAH L SULLIVAN (NPI# 1518108794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518108794 |
Entity Type | Individual |
Full Name | DEBORAH L SULLIVAN |
Practice Address |
411 30th St Oakland CA 94609-3310 |
Mailing Address |
5674 Stoneridge Dr Pleasanton CA 94588-8500 |
Practice Telephone | 5102734200 |
Enumeration Date | 2009-03-17 |
Last Update Date | 2009-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
500563 | CA | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568950152 | Deborah Hall Sullivan | Registered Nurse | 1000 Sanger Ave, Oceanport, NJ 07757-1241 | 2018-04-29 |
1275968927 | Deborah Mae Sullivan | Case Manager/Care Coordinator | 190 Mossy Oak Cir, North Augusta, SC 29841-3093 | 2013-09-12 |
1639419633 | Deborah Sullivan | Speech-Language Pathologist | 10140 Sw Paulina Dr, Tualatin, OR 97062-8549 | 2013-02-27 |
1972649143 | Deborah C. Sullivan | Dentist | 1200 U.S. Hwy 287 North, Suite 102, Mansfield, TX 76063 | 2007-01-29 |
1487643201 | Deborah Ann Sullivan | Genetic Counselor, MS | 182 Colon Ave, Staten Island, NY 10308-1405 | 2005-10-14 |
1023018900 | Deborah A Sullivan | Nurse Practitioner | 2139 N Academy Blvd, Colorado Springs, CO 80909-1507 | 2005-07-21 |
1730720327 | Deborah Sheryl Sullivan | Psychologist | 1384 Kempsville Rd, Norfolk, VA 23502-2299 | 2019-10-04 |
1699236224 | Deborah Katherine Sullivan | Counselor | 40700 California Oaks Rd Ste 202, Murrieta, CA 92562-5789 | 2019-03-27 |
1164816716 | Deborah Sullivan | Nurse Practitioner | 41 Mall Rd, Trauma Office 2t53, Burlington, MA 01805-0001 | 2015-03-22 |
1053740142 | Deborah Sullivan | Speech-Language Pathologist | 415 6th St, Lewiston, ID 83501-2431 | 2013-11-08 |
Street Address |
411 30TH ST |
City | OAKLAND |
State | CA |
Zip Code | 94609-3310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588656847 | Philip Young-suh Chyu | Radiology | 411 30th St, #508, Oakland, CA 94609 | 2005-08-22 |
1841724218 | Jennifer Lynne Stanley | Internal Medicine | 411 30th St, Oakland, CA 94609-3310 | 2017-04-12 |
1558702886 | Catherine Yen Lowder | Acupuncturist | 411 30th St, Suite 308, Oakland, CA 94609-3310 | 2013-07-15 |
1760740468 | East Bay Family Institute | Psychologist | 411 30th St, 305, Oakland, CA 94609-3310 | 2012-05-01 |
1659648905 | Gretchen Ann Thompson | Case Manager/Care Coordinator | 411 30th St, Suite 303, Oakland, CA 94609-3310 | 2011-11-30 |
1174842835 | Wade R. Cartwright M.d. A Professional Corporation | Otolaryngology | 411 30th St, Suite 401, Oakland, CA 94609-3310 | 2010-05-20 |
1912229097 | Taylor Beebe | Counselor | 411 30th St, Oakland, CA 94609-3310 | 2010-02-17 |
1750612552 | Ruby Elmer | Counselor | 411 30th St, Oakland, CA 94609-3310 | 2010-01-19 |
1619206877 | Tasia Holland | Specialist | 411 30th St, Oakland, CA 94609-3310 | 2009-12-17 |
1013168582 | Mohamed Bereteh | Counselor | 411 30th St, Suite 314, Oakland, CA 94609-3301 | 2008-10-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
Find all providers in zip 94609 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235767393 | Julianne Vilardi | Registered Nurse | 3410 Birdsall Ave Unit B, Oakland, CA 94619-2621 | 2020-04-01 |
1346884301 | Joshua Ian Habansky | Registered Nurse | 3300 Webster St Ste 402, Oakland, CA 94609-3149 | 2019-11-03 |
1699314245 | Alfredo Isaac Ortiz | Registered Nurse | 629 Oakland Ave, Oakland, CA 94611-4567 | 2019-12-30 |
1376187716 | Rosalin M. Smith | Registered Nurse | 390 40th St, Oakland, CA 94609-2633 | 2019-10-29 |
1154974574 | Miltom Cruz | Registered Nurse | 1700 Broadway Ste 500, Oakland, CA 94612-2141 | 2019-07-24 |
1972066272 | Roxana L Murray | Registered Nurse | 280 17th St, Oakland, CA 94612-4124 | 2019-04-12 |
1134693203 | Gisa Sanjabi | Registered Nurse | 1700 Broadway, Oakland, CA 94612-2141 | 2019-01-11 |
1972092120 | Pamela Denice Hood | Registered Nurse | 1700 Broadway Fl 5, Oakland, CA 94612-2141 | 2018-05-03 |
1326494337 | Blessing Lawski | Registered Nurse | 1700 Broadway, Oakland, CA 94612-2141 | 2016-05-09 |
1629495403 | Katherine Hoeber | Registered Nurse | 1700 Broadway, Suite-500, Oakland, CA 94612-2141 | 2014-03-18 |
Find all providers in OAKLAND |
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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.