JENNIFER SULLIVAN (NPI# 1558820290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558820290 |
| Entity Type | Individual |
| Full Name | JENNIFER SULLIVAN |
| Credential | LAT, ATC |
| Practice Address |
6799 Krenson Oaks Cir Lakeland FL 33810-2157 |
| Practice Telephone | 7278049102 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL4073 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907232 | Jennifer Sullivan | Massage Therapist | 82884 N Pacific Hwy, Creswell, OR 97426-9407 | 2020-09-21 |
| 1033778360 | Jennifer Sullivan | Registered Nurse | 3703 Stearns Hill Rd, Waltham, MA 02451-7134 | 2019-06-11 |
| 1043780364 | Jennifer P Sullivan | Lactation Consultant, Non-RN | 33 Arlington Ave Ste 4, Poughkeepsie, NY 12603-1603 | 2018-11-29 |
| 1942750484 | Jennifer Sullivan | Physical Therapy Assistant | 518 Phillips Rd # A, Levant, ME 04456-4446 | 2016-10-07 |
| 1770953051 | Jennifer Sullivan | Occupational Therapy Assistant | 3815 W Mason Rd, Deer Park, WA 99006-9511 | 2015-09-30 |
| 1720470552 | Jennifer M Sullivan | Specialist | 88 Slocum Ave, Tappan, NY 10983-2610 | 2015-03-03 |
| 1093122475 | Jennifer Sullivan | Nurse Practitioner | 15 Gracelawn Rd Ste 203, Auburn, ME 04210-6344 | 2014-07-17 |
| 1164778635 | Jennifer Sullivan | Early Intervention Provider Agency | 51 Churchill Ln, Smithtown, NY 11787-4039 | 2012-08-02 |
| 1881956472 | Jennifer Sullivan | Specialist | 4663 189th St, Flushing, NY 11358-3834 | 2012-06-11 |
| 1316279409 | Jennifer Sullivan | Occupational Therapist | 45 S Crescent Circuit, Brighton, MA 02135-3045 | 2010-02-01 |
| Street Address |
6799 KRENSON OAKS CIR |
| City | LAKELAND |
| State | FL |
| Zip Code | 33810-2157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811495096 | Suzanne Brabant | Social Worker | 8179 Westmont Terrace Drive, Lakeland, FL 33810 | 2018-01-23 |
| 1396102554 | Faison Health Care Solution | Custodial Care Facility | 2064 View Point Landings Rd, Lakeland, FL 33810 | 2016-01-19 |
| 1306212808 | Drew Brownlow | Physical Therapy Assistant | 6303 Brahman Drive, Lakeland, FL 33810 | 2015-08-19 |
| 1043699051 | Ilene Shumaker Griffin | Home Health Aide | 2930 Oak Tree Ln, Lakeland, FL 33810 | 2015-05-22 |
| 1962881276 | Richardson Anointing Hands | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 708east Ponderosa Dr, Lakeland, FL 33810 | 2015-05-20 |
| 1336352756 | Avito Veloso Vano | Physical Therapist | 9460 Redhawk Bend Lane, Lakeland, FL 33810 | 2007-05-08 |
| 1104978444 | Jean Bednarski Waters | Registered Nurse | 8516 N Campbell Rd, Lakeland, FL 33810 | 2007-01-17 |
| 1407892656 | David Willis Kent | Counselor | 930 Alicea Rd, Lakeland, FL 33810 | 2006-06-22 |
| 1972818359 | Suzanne B Stewart | Pharmacist | 3120 Kathleen Rd, Lakeland, FL 33810 | 2010-08-10 |
| 1689117228 | Kyosha Howard | Occupational Therapist | 3624 Country Ln, Lakeland, FL 33810-0238 | 2016-11-30 |
| Find all providers in zip 33810 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272702 | D'ondra Loyd | Specialist/Technologist | 8742 Fort Socrum Village Pl, Lakeland, FL 33810-0332 | 2020-07-14 |
| 1487127791 | Tiffany Lauren Ally | Specialist/Technologist | 5473 Pebble Beach Dr, Lakeland, FL 33812-1216 | 2019-01-09 |
| 1902353626 | Armando Campos | Specialist/Technologist | 111 Lake Hollingsworth Dr # 4311, Lakeland, FL 33801-5607 | 2016-09-10 |
| 1871959320 | Jordan Allen | Specialist/Technologist | 1111 Forest Park St, Lakeland, FL 33803-1832 | 2016-01-13 |
| 1780059048 | Robert Guertin IIi | Specialist/Technologist | 4747 Highlands Place Dr, Lakeland, FL 33813-2162 | 2015-12-11 |
| 1023481926 | Joseph D'alessandro | Specialist/Technologist | 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 | 2015-11-02 |
| 1578933651 | Christopher Horton | Specialist/Technologist | 4355 Corporate Ave Apt 149, Lakeland, FL 33809-4099 | 2015-10-01 |
| 1275919532 | Danielle Kristine Perrotti | Specialist/Technologist | 1000 Longfellow Blvd, Lakeland, FL 33801-6034 | 2015-08-09 |
| 1598141459 | Dustin Campbell | Specialist/Technologist | 2611 Jennifer Dr, Lakeland, FL 33810-5130 | 2015-08-03 |
| 1154504066 | Joann Hauser | Specialist/Technologist | 1819 Meadowbrook Ave, Lakeland, FL 33803-2536 | 2007-12-13 |
| Find all providers in LAKELAND | ||||
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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.