CASEY SULLIVAN (NPI# 1578762944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578762944 |
| Entity Type | Individual |
| Full Name | CASEY SULLIVAN |
| Credential | NP |
| Practice Address |
6911 E Us Highway 36 Avon IN 46123-8926 |
| Mailing Address |
10330 N Meridian St Suite 201 Indianapolis IN 46290-1024 |
| Practice Telephone | 3172728033 |
| Practice Fax Number | 3172728044 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71002030A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200865470 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8414 Naab Rd, Indianapolis, IN 462601972 | 3173387510 | 3173387515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114235769 | Casey Lee Sullivan | Physical Therapist | 9042 Pimpernel Dr, San Diego, CA 92129-3601 | 2010-09-16 |
| 1235754128 | Casey Margaret Sullivan | Social Worker | 7941 W Rifleman St, Boise, ID 83704-9001 | 2020-06-16 |
| 1356965701 | Casey Marie Sullivan | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-06-02 |
| 1114462959 | Casey Sullivan | Social Worker | 2045 Westgate Dr Ste 100, Bethlehem, PA 18017-7487 | 2017-01-04 |
| 1740660141 | Casey Sullivan | Physical Therapist | 1601 Cherry St, Ms 21041, Philadelphia, PA 19102-1320 | 2015-06-02 |
| 1760887715 | Casey Elizabeth Sullivan | Occupational Therapist | 2545 24th St, Rock Island, IL 61201-5305 | 2014-11-01 |
| 1578670840 | Casey Sullivan | Nurse Practitioner | 1055 N 500 W, Suite 212, Provo, UT 84604-3305 | 2006-08-24 |
| Street Address |
6911 E US HIGHWAY 36 |
| City | AVON |
| State | IN |
| Zip Code | 46123-8926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952396889 | Andrea G Huffman | Obstetrics & Gynecology | 6911 E Us Highway 36, Avon, IN 46123-8926 | 2005-09-16 |
| 1730530429 | Krystal Reynolds | Obstetrics & Gynecology | 6911 E Us Highway 36, Avon, IN 46123-8926 | 2016-06-24 |
| 1295963775 | Julia Lauren Ruckman-long | Obstetrics & Gynecology | 6911 E Us Highway 36, Avon, IN 46123-8926 | 2009-06-23 |
| 1639312168 | Laurie Marie Van Donselaar | Obstetrics & Gynecology | 6911 E Us Highway 36, Avon, IN 46123-8926 | 2009-04-14 |
| 1912008343 | Hendricks County Hospital | Obstetrics & Gynecology | 6911 E Us Highway 36, Avon, IN 46123-8926 | 2006-09-26 |
| 1255300018 | Megan R Fish | Nurse Practitioner | 6911 E Us Highway 36, Suite 1100, Avon, IN 46123-8926 | 2006-03-15 |
| 1477531986 | Grace C Badman | Obstetrics & Gynecology | 6911 E Us Highway 36, Avon, IN 46123-8926 | 2006-01-04 |
| 1245218908 | Deanna M Fenoughty | Obstetrics & Gynecology | 6911 E Us Highway 36, Avon, IN 46123-8926 | 2006-01-04 |
| 1316925076 | Anita K Mazdai | Obstetrics & Gynecology | 6911 E Us Highway 36, Avon, IN 46123-8926 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018669 | Dienye Williams | Pharmacist | 108 North Sr 267, Avon, IN 46123 | 2019-11-25 |
| 1992353817 | Debra Blackwell | Technician | 8198 Montage Ave, Apt 104, Avon, IN 46123 | 2019-09-04 |
| 1932675766 | Blake Ponist | Occupational Therapist | 10940 E U S Highway 36, Rockville Rd, Avon, IN 46123 | 2018-10-19 |
| 1396238150 | Sarah Sweany | Dietitian, Registered | Iu Health West Cancer Center, 1111 North Ronald Reagen Pkwy Suite B1600, Avon, IN 46123 | 2018-06-07 |
| 1124516257 | Sheree Itza | Counselor | 6655 E Us Highway 36 Ste 100, Avon, IN 46123 | 2018-04-24 |
| 1255860607 | Jonathan Lambert | Dentist | 110 N Avon Ave B, Avon, IN 46123 | 2017-06-08 |
| 1023546629 | 10439 E Us Highway 36 Dental, LLC | Dentist | 10439 E Us Highway 36, Avon, IN 46123 | 2017-05-25 |
| 1902330756 | Melissa Wheatley | Occupational Therapy Assistant | 6294 Forest View Court, Avon, IN 46123 | 2017-04-19 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1962871301 | Annette Joelene Oechsle | Health Educator | 1820 South County Road 525 East, Avon, IN 46123 | 2015-09-16 |
| Find all providers in zip 46123 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962928226 | Elizabeth Marie Tanner | Nurse Practitioner | 1115 Ronald Reagan Pkwy Ste 383, Avon, IN 46123-6914 | 2017-08-18 |
| 1811399066 | Allison Anne Couture | Nurse Practitioner | 100 Simsbury Rd Ste 203, Avon, CT 06001-3793 | 2014-09-18 |
| 1558775023 | Angelia Hicks Teague-priddy | Nurse Practitioner | 1080 Riverside Rd, Avon, MS 38723 | 2014-06-12 |
| 1528389962 | Dawn Marie Massey | Nurse Practitioner | 30 West Avon Road, Avon, CT 06001 | 2010-06-21 |
| 1447371596 | Michael D. Shea | Nurse Practitioner | 339 West Main St., Hartford Healthcare Medical Medical Group, Avon, CT 06001 | 2007-04-03 |
| 1336231133 | Theresa Kay Menner | Nurse Practitioner | 8244 E. Us 36, Ste. 1100, Hendricks Regional Health Immediate Care, Avon, IN 46123-9627 | 2006-09-29 |
| 1063046837 | Jennifer Arline Pierce | Nurse Practitioner | 8244 E Us Highway 36 Ste 1100, Avon, IN 46123-9627 | 2020-03-02 |
| 1457983579 | Robin Lynn Shaver | Nurse Practitioner | 8607 E Us Highway 36 Ste 100, Avon, IN 46123-7960 | 2020-02-06 |
| 1558908046 | Truc Vuu | Nurse Practitioner | 21 Waterville Rd, Avon, CT 06001-2097 | 2019-12-04 |
| 1134782485 | Kate-lyn Birchell | Nurse Practitioner | 385 W Main St, Avon, CT 06001-4357 | 2019-04-22 |
| Find all providers in AVON | ||||
Please comment or provide details below to improve the information on CASEY 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.