MRS. ELIZABETH GRAL SULLIVAN (NPI# 1538103643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538103643 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH GRAL SULLIVAN |
| Credential | MS/CCC-SLP |
| Practice Address |
13111 North Port Washington Road Mequon WI 53097 |
| Mailing Address |
816 E Hyde Way Fox Point WI 53217-3221 |
| Practice Telephone | 2622437444 |
| Mailing Telephone | 4143526817 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2012-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 878-154 | WI | Speech, Language and Hearing Service Providers |
| 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 |
13111 NORTH PORT WASHINGTON ROAD |
| City | MEQUON |
| State | WI |
| Zip Code | 53097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851512982 | Wendy S Balister | Dietitian, Registered | 13111 North Port Washington Rd, Mequon, WV 53097 | 2007-05-02 |
| 1902985922 | Lisa Lang | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2006-11-02 |
| 1003915570 | Joan T Gnadt | Internal Medicine | 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 | 2006-09-21 |
| 1255439097 | Susan J Riegg | Pathology | 13111 N Port Washington Road, Mequon, WI 53097 | 2006-09-20 |
| 1891808887 | Gregory Eric Custer | Dentist | 13615 N Cedarburg Road, Mequon, WI 53097 | 2006-08-16 |
| 1114958600 | Richard K Karr | Orthopaedic Surgery | 13133n Port Washington Road, #216, Mequon, WI 53097 | 2006-07-05 |
| 1548204712 | Lauretta Lyon Schears | Occupational Therapist | 13111 N. Portwashington Rd, Mequon, WI 53097 | 2006-06-16 |
| 1235173337 | Sarah Marie Neman | Physical Therapy Assistant | 13111 N Prot Washington Rd., Mequon, WI 53097 | 2006-06-16 |
| 1952808701 | Lisa Lang LLC | Counselor | 14135 North Cedarburg Road, Mequon, WI 53097 | 2018-04-09 |
| 1598089211 | Jessica Lynn Grimm | Physical Therapist | 12800 N Lake Shore Dr, Mequon, WI 53097 | 2010-03-24 |
| Find all providers in zip 53097 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720320732 | Susan Goggins | Speech-Language Pathologist | 1814 W Glen Oaks Ln, Mequon, WI 53092-2902 | 2013-03-18 |
| 1477796910 | Jennifer Renee Herklotz | Speech-Language Pathologist | 1025 W Glen Oaks Ln Ste 107, Mequon, WI 53092-3372 | 2009-04-14 |
| 1720253925 | Roberta L. Bloch | Speech-Language Pathologist | 10133 N Gettysburg Ct, Mequon, WI 53092-5456 | 2008-04-28 |
| 1083779607 | Milagros Caceres | Speech-Language Pathologist | 12600 Pt. Washington Rd, Newcastle Place, Mequon, WI 53092-3469 | 2006-12-26 |
| 1003977000 | Michelle Rivera | Speech-Language Pathologist | 403 W Mequon Rd, Mequon, WI 53092-3514 | 2006-12-13 |
| 1831262021 | Susan O Carneol | Speech-Language Pathologist | 10303 N Port Washington Rd Ste 203, North Shore Center LLC, Mequon, WI 53092-5760 | 2006-11-16 |
| 1922047117 | Amy Beth Streeter | Speech-Language Pathologist | 10766 N Mequon Trl, Mequon, WI 53092-8550 | 2006-06-05 |
| 1992353676 | Claire Gorman | Speech-Language Pathologist | 1486 W Mequon Rd, Mequon, WI 53092-3268 | 2019-08-27 |
| 1720589476 | Mequon Speech and Learning Connection | Speech-Language Pathologist | 1025 W Glen Oaks Ln Ste 107, Mequon, WI 53092-3372 | 2018-02-27 |
| 1306130265 | Karen Lorene Peterson | Speech-Language Pathologist | 1486 W Mequon Rd, Mequon, WI 53092-3268 | 2011-06-07 |
| Find all providers in MEQUON | ||||
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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.