AMANDA MICHELLE SULLIVAN (NPI# 1578900056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578900056 |
| Entity Type | Individual |
| Full Name | AMANDA MICHELLE SULLIVAN |
| Other Name | AMANDA MICHELLE WILSON |
| Credential | ARNP |
| Practice Address |
655 W 8th St Ufjax - Dept. of Pediatrics/neonatology Jacksonville FL 32209-6511 |
| Mailing Address |
Po Box 44008 Ufjp - Provider Enrollment Jacksonville FL 32231-4008 |
| Practice Telephone | 9042445100 |
| Practice Fax Number | 9042444301 |
| Mailing Telephone | 9042443199 |
| Mailing Fax Number | 9042443425 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2014-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
ARNP9353428 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 008891500 | 05 | |
| GA | 003135006B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275878183 | Amanda J Sullivan | Physical Therapy Assistant | 71 Millard Rd, North Attleboro, MA 02760-4407 | 2012-12-04 |
| 1912291436 | Amanda Sullivan | Licensed Practical Nurse | 364 Lake Marie Rd, Liberty, NY 12754-2924 | 2011-06-01 |
| 1750613576 | Amanda K Sullivan | Speech-Language Pathologist | 9307 N 3rd Dr, Phoenix, AZ 85021-3555 | 2010-02-03 |
| 1447483458 | Amanda L Sullivan | Counselor | 770 N Cotner Blvd Ste 330, Lincoln, NE 68505-2377 | 2009-08-25 |
| 1447208491 | Amanda Clare Sullivan | Acupuncturist | 5 Bon Air Rd Ste 109, Larkspur, CA 94939-1137 | 2006-05-04 |
| 1730141151 | Amanda Leigh Sullivan | Specialist/Technologist | 8229 Clayton Rd, Suite 204, Saint Louis, MO 63117-1155 | 2006-04-03 |
| 1093349672 | Amanda Sullivan | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2020-02-24 |
| 1851941280 | Amanda Sullivan | Counselor | 74 East St, Plainville, CT 06062-2367 | 2019-09-17 |
| 1033766415 | Amanda Anne Sullivan | Pharmacist | 801 E Sunset Dr, Waukesha, WI 53189-7816 | 2019-08-21 |
| 1386207462 | Amanda Sullivan | Occupational Therapist | 6811 Campfield Rd, Baltimore, MD 21207-4657 | 2019-04-15 |
| Street Address |
655 W 8TH ST UFJAX - DEPT. OF PEDIATRICS/NEONATOLOGY |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586828 | Ghaith Mitri | Internal Medicine | 655 W 8th St, Ufjp Rheumatology Dept., Jacksonville, FL 32209-6511 | 2005-05-23 |
| 1386242253 | Keivan Tavakoli | General Practice | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-10-13 |
| 1013522473 | Jacquelyn Hill | Nurse Practitioner | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-09-12 |
| 1346854346 | Whitney O'brien | Dietitian, Registered | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-09-07 |
| 1548873318 | Kelly Huston | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-08-31 |
| 1427669423 | Dianna Louise Tompkins | Registered Nurse | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-08-12 |
| 1235748021 | Treasure Victoria Bright | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-28 |
| 1003424656 | Christopher Fuller | Physical Therapist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-20 |
| 1922616051 | Katie Reel | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-15 |
| 1437767688 | Bethany Pope | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| Find all providers in zip 32209 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114255593 | Jeffrey Allen Siebert | Nurse Practitioner | 100 Brewster Blvd., Camp Lejeune, Jacksonville, NC 28547-2538 | 2009-11-24 |
| 1134344302 | Eleanor F Pardue | Nurse Practitioner | 2080 Child St Naval Hospital At Jacksonville, Mother Infant Unit, Jacksonville, FL 32212 | 2007-04-14 |
| 1134752348 | Jennifer Moore Lemieux | Nurse Practitioner | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-02-17 |
| 1215582481 | Julia Nogueira Peredo | Nurse Practitioner | 655 W 8th St # C3, Jacksonville, FL 32209-6511 | 2019-08-05 |
| 1730678905 | Chloe Dee Webster | Nurse Practitioner | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2018-05-03 |
| 1144696162 | Jenna Rose Ryan | Nurse Practitioner | 655 W 8th St, Jacksonville, FL 32209-6511 | 2015-08-13 |
| 1346634474 | Amy Nichol Bouchell | Nurse Practitioner | 655 W 8th St, Jacksonville, FL 32209-6511 | 2015-03-26 |
| 1093107526 | Laura Beth Pope | Nurse Practitioner | 820 Prudential Dr, Jacksonville, FL 32207-8210 | 2015-02-20 |
| 1538586235 | Ashley Smith | Nurse Practitioner | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2014-03-20 |
| 1629400767 | Shannon Lee Osbeck | Nurse Practitioner | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2013-07-31 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
Please comment or provide details below to improve the information on AMANDA 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.