NICOLE SULLIVAN (NPI# 1548819675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548819675 |
| Entity Type | Individual |
| Full Name | NICOLE SULLIVAN |
| Credential | PA-C |
| Practice Address |
140 N Sherman Ct Hazleton PA 18201-5863 |
| Mailing Address |
7959 Cross Creek Cir Breinigsville PA 18031-1325 |
| Practice Telephone | 5705017020 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA060992 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2649 Schoenersville Rd Ste 101, Bethlehem, PA 180177317 | 4848843600 | |
| 1250 S Cedar Crest Blvd Ste 215, Allentown, PA 181036271 | 6104026986 | |
| 205 E Laurel Blvd, Pottsville, PA 179012534 | 5706244743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366819179 | Nicole Alyssa Sullivan | Speech-Language Pathologist | 146 Daffodil Ave, Franklin Square, NY 11010-3815 | 2015-08-27 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1154499036 | Nicole Elizabeth Sullivan | Chiropractor | 214 W John Fitch Ave, Bardstown, KY 40004-1115 | 2006-12-01 |
| 1750919122 | Nicole Sullivan | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 837, Little Rock, AR 72205-7101 | 2020-03-31 |
| 1538795794 | Nicole Anne Sullivan | Occupational Therapist | 7000 Great Meadow Rd, Dedham, MA 02026-4090 | 2020-03-19 |
| 1992366918 | Nicole Sullivan | Psychologist | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2019-06-21 |
| 1306314927 | Nicole Ann Sullivan | Developmental Therapist | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2018-11-13 |
| 1932625290 | Nicole Ashley Sullivan | Social Worker | 281 Phelps Ln, North Babylon, NY 11703-4005 | 2017-08-18 |
| 1437542404 | Nicole Sullivan | Counselor | 160 Atlantic City Blvd, Bayville, NJ 08721-1229 | 2015-03-14 |
| 1770886947 | Nicole L Sullivan | Occupational Therapy Assistant | 444 One Eleven Pl, Cookeville, TN 38506-4358 | 2010-12-10 |
| Street Address |
140 N SHERMAN CT |
| City | HAZLETON |
| State | PA |
| Zip Code | 18201-5863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659486199 | Ashok V Bhalodi | Urology | 140 N Sherman Ct, Hazleton, PA 18201-5863 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992335244 | Alfreda A Wujcik | Counselor | 750 E Broad Street, Hazleton, PA 18201 | 2020-01-24 |
| 1811468127 | Omni Health Services, Inc. | Peer Specialist | 1747 B East Broad Street, Hazleton, PA 18201 | 2018-12-13 |
| 1366956781 | Olivia Dworak | Pharmacist | Route 93 Laurel Mall, Hazleton, PA 18201 | 2017-11-21 |
| 1598283194 | Emily Heller | Massage Therapist | 780 N. Church St., Hazleton, PA 18201 | 2017-09-03 |
| 1053715425 | Md Enterprises LLC | In Home Supportive Care | 261 S Church St, Hazleton, PA 18201 | 2014-10-14 |
| 1154605772 | Michael A. Washinsky, Do | Family Medicine | 1730 E Borad Street, Suite1, Hazleton, PA 18201 | 2011-09-30 |
| 1205158185 | Sally Anne Malkin Gilbert | Pharmacist | Laurel Mall Route 93, Hazleton, PA 18201 | 2010-02-19 |
| 1790017176 | Michael John Portonova | Chiropractor | 943 North Church Street, Hazleton, PA 18201 | 2010-02-09 |
| 1598964330 | Anthony John Stachurski Jr. | Occupational Therapy Assistant | 1000 W. 27th St., Hazleton, PA 18201 | 2007-07-12 |
| 1801017819 | Stephen C Celani | Dentist | 21 East Broad St, Hazelton, PA 18201 | 2007-05-01 |
| Find all providers in zip 18201 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215487251 | Kristina Roskos | Physician Assistant | 347 Muir Ave, Hazleton, PA 18201-7430 | 2016-10-13 |
| 1962518290 | Amy Vitek | Physician Assistant | 1090 N Church Street, Hazleton, PA 18202 | 2006-08-21 |
| 1699741231 | Rachel L. Chitswara | Physician Assistant | 126 Airport Rd, Hazleton, PA 18202-9756 | 2006-02-24 |
| 1780169821 | Shaina Anne Grego | Physician Assistant | 128 W 14th St, Hazleton, PA 18201-3266 | 2018-09-25 |
| 1750617437 | Jenyne Marie Podlinski | Physician Assistant | 700 E Broad St, Hazleton, PA 18201-6835 | 2009-10-30 |
| 1447336599 | Dorothy A Perillo | Physician Assistant | 750 E Broad St, Hazleton, PA 18201-6835 | 2006-10-31 |
| 1629153713 | Nicole Buak Onder | Physician Assistant | 400 W 23rd St, Hazleton, PA 18202 | 2006-10-26 |
| 1598731630 | Gregory Jones | Physician Assistant | 700 E Broad St, Hazleton, PA 18201-6835 | 2006-02-28 |
| 1851367106 | Robin Ragantesi | Physician Assistant | 700 E Broad St, Hazleton, PA 18201-6835 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316762 | Alyssa Ann Mikes | Physician Assistant | 6 New Countryside Dr, West Chester, PA 19382-6456 | 2020-11-08 |
| 1720689011 | Marissa Dawn Lamary | Physician Assistant | 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 | 2020-11-04 |
| 1013517796 | Kifany M Gower | Physician Assistant | 1158 Wyoming Ave, Exeter, PA 18643-1815 | 2020-10-30 |
| 1922608645 | Meghan Michelle Allen | Physician Assistant | 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 | 2020-10-30 |
| 1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1740889443 | Tricia Harenza | Physician Assistant | 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 | 2020-10-22 |
| 1336748425 | Alexis Marie Ivosevic | Physician Assistant | 98 Deer Park Ln, Hawley, PA 18428-8223 | 2020-10-20 |
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1851990170 | Jessica Marie Giordano | Physician Assistant | 201 Penn Valley Ter, Yardley, PA 19067-1028 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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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.