MS. TRACY MICHELLE SULLIVAN (NPI# 1558962548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558962548 |
| Entity Type | Individual |
| Full Name | MS. TRACY MICHELLE SULLIVAN |
| Credential | RPH |
| Practice Address |
5433 Reidland Rd Paducah KY 42003-0954 |
| Practice Telephone | 2708987313 |
| Practice Fax Number | 2708981999 |
| Mailing Telephone | 2708987313 |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 010067 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821198326 | Tracy L Sullivan | Audiologist | 13 2nd St Sw, Le Mars, IA 51031-2007 | 2006-09-24 |
| 1114531738 | Tracy Lynn Sullivan | Counselor | 40 2nd St E Ste 230, Kalispell, MT 59901-6114 | 2020-09-01 |
| 1689829368 | Tracy Sullivan | Psychologist | 1270 Kings Hwy, Lewes, DE 19958-1735 | 2008-11-24 |
| 1902989957 | Tracy Sullivan | Nurse Practitioner | 3001 Expressway Drive North, Suite #116, Islandia, NY 11749 | 2006-10-23 |
| 1275547101 | Tracy C Sullivan | Dentist | 1880 Pottery Ave, Suite 200, Port Orchard, WA 98366-2518 | 2006-07-28 |
| Street Address |
5433 REIDLAND RD |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-0954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174539746 | Reidland Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5433 Reidland Rd, Paducah, KY 42003-0954 | 2006-08-01 |
| 1871194878 | Brianna Katherine Sullivan | Pharmacist | 5433 Reidland Rd, Paducah, KY 42003-0954 | 2020-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083105837 | Mario Hanna | Pharmacist | 3422 Minnich Ave # G, Paducah, KY 42001-4269 | 2018-05-27 |
| 1346563392 | Joel Ralph Pendergraft | Pharmacist | 2440 Lone Oak Rd, Paducah, KY 42001 | 2010-03-04 |
| 1669521167 | Kyle Pitman Katterjohn, Rph | Pharmacist | 1100 Caldwell St, Paducah, KY 42003-2080 | 2007-01-10 |
| 1285614057 | Joel Lynn Southerland | Pharmacist | 538 Lone Oak Rd, Paducah, KY 42003-4538 | 2006-01-18 |
| 1790764942 | Gale M Garner | Pharmacist | 3524 Park Plaza Rd, Paducah, KY 42001-8900 | 2006-01-14 |
| 1023015633 | Anuradha Manchikanti | Pharmacist | 415 Broadway St, Paducah, KY 42001-0713 | 2005-06-29 |
| 1396346078 | Tracy Lee Douglas | Pharmacist | 3220 Irvin Cobb Dr, Paducah, KY 42003-2196 | 2020-11-08 |
| 1871194878 | Brianna Katherine Sullivan | Pharmacist | 5433 Reidland Rd, Paducah, KY 42003-0954 | 2020-11-05 |
| 1659972628 | Marshall W Davis | Pharmacist | 250 Lone Oak Rd, Paducah, KY 42001-4400 | 2020-11-05 |
| 1790386068 | Gena Lee Miller | Pharmacist | 5130 Hinkleville Rd, Paducah, KY 42001-9132 | 2020-11-03 |
| Find all providers in PADUCAH | ||||
Please comment or provide details below to improve the information on MS. TRACY MICHELLE 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.