MARY P. SULLIVAN (NPI# 1619038874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619038874 |
| Entity Type | Individual |
| Full Name | MARY P. SULLIVAN |
| Credential | R.D. |
| Practice Address |
2500 Merced Street San Leandro CA 94577-4201 |
| Practice Telephone | 5104541000 |
| Mailing Telephone | 5104541000 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2015-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 399866 | CA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMDIETETICASSOC REGIST# | 399866 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487135430 | Mary Sullivan | Registered Nurse | 2527 Hiawatha, San Antonio, TX 78210-5422 | 2018-08-28 |
| 1508315961 | Mary Sheila Sullivan | Dietitian, Registered | 16 Raymond Dr, Wilbraham, MA 01095-2606 | 2016-09-27 |
| 1073851192 | Mary Barbara Sullivan | General Practice | 1403 Wind River Dr Se, Huntsville, AL 35802-3936 | 2013-01-24 |
| 1144572546 | Mary Elizabeth Sullivan | Social Worker | 123 Garden St, Needham, MA 02492-2029 | 2012-10-09 |
| 1164784781 | Mary Sullivan | Specialist | 3 Hawthorne St, Hicksville, NY 11801-2607 | 2012-06-10 |
| 1811268980 | Mary E Sullivan | Psychologist | 901 E Hackberry Ave Rm C-204, Mcallen, TX 78501-6502 | 2012-01-22 |
| 1366756272 | Mary Kate Sullivan | Occupational Therapy Assistant | 50 Madison Rd, Dumas, AR 71639-9385 | 2010-08-03 |
| 1740592955 | Mary Elizabeth Sullivan | Social Worker | 2201 South 17th Street, Lincoln, NE 68502-2953 | 2010-07-06 |
| 1215267554 | Mary J Sullivan | Speech-Language Pathologist | 95 Skowhegan Rd, Maine Center for Integrated Rehab, Fairfield, ME 04937-3303 | 2010-01-08 |
| 1588893564 | Mary Loraine Sullivan | Obstetrics & Gynecology | 133 W Main St # 240, El Cajon, CA 92020-3315 | 2009-07-10 |
| Street Address |
2500 MERCED STREET |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94577-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114901667 | Kiran Mayi Nandamuri | Internal Medicine | 2500 Merced Street, San Leandro, CA 94577-4201 | 2005-11-29 |
| 1700299260 | Uma Vinayagasundaram | Pediatrics | 2500 Merced Street, Kaiser Foundation Hospital- San Leandro, San Leandro, CA 94577 | 2014-06-03 |
| 1033539143 | Solomon H. Young | Dietitian, Registered | 2500 Merced Street, San Leandro, CA 94577-4201 | 2014-04-16 |
| 1538407481 | Cindy Lee | Nurse Anesthetist, Certified Registered | 2500 Merced Street, San Leandro, CA 94577-4201 | 2013-01-28 |
| 1780948125 | Giselle Del Rosario Tan | Physical Therapist | 2500 Merced Street, San Leandro, CA 94577-4201 | 2012-06-29 |
| 1760716260 | Kyle Andrew Drullinger | Student in an Organized Health Care Education/Training Program | 2500 Merced Street, San Leandro, CA 94577-4201 | 2009-09-30 |
| 1336383652 | Kian Mostafavi | Surgery | 2500 Merced Street, San Leandro, CA 94577-4201 | 2009-04-30 |
| 1255572780 | Jessica Mary Zuraw | Emergency Medicine | 2500 Merced Street, San Leandro, CA 94577-4201 | 2009-03-12 |
| 1558526624 | Michelle Ortega Dimaano | Physical Therapist | 2500 Merced Street, San Leandro, CA 94577-4201 | 2008-07-28 |
| 1255595393 | Michael Thomas Madland | Student in an Organized Health Care Education/Training Program | 2500 Merced Street, San Leandro, CA 94577-4201 | 2008-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358574 | A Caring Heart Home Health Inc. | In Home Supportive Care | 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 | 2019-10-28 |
| 1871070052 | New Connections Neuropsychology, PC | Clinical Neuropsychologist | 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 | 2018-07-20 |
| 1790287266 | Jennifer Capilla | Behavior Technician | 333 Estudillo Ave #204, San Leandro, CA 94577 | 2018-03-01 |
| 1891296760 | Maryann Kruse Bens | Clinical Neuropsychologist | 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 | 2018-02-26 |
| 1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
| 1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
| 1184154999 | Shauntrinae Mason | Marriage & Family Therapist | 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 | 2017-06-14 |
| 1912453135 | Dr. Marshea Evans | Point of Service | 1068 E14th Street, San Leandro, CA 94577 | 2016-08-28 |
| 1902252935 | Mobility Express Medical Transportation | Non-emergency Medical Transport (VAN) | 1695 Abram Ct Ste 202, San Leandro, CA 94577 | 2016-05-09 |
| 1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
| Find all providers in zip 94577 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712460 | Xiaoyi Wu | Dietitian, Registered | 900 143rd Ave Apt 254, San Leandro, CA 94578-3352 | 2020-08-25 |
| 1548871809 | Wing Ki Leung | Dietitian, Registered | 1352 Gilmore Dr, San Leandro, CA 94577-2400 | 2020-08-11 |
| 1205454907 | John Lew | Dietitian, Registered | 755 Hollyhock Dr, San Leandro, CA 94578-3818 | 2020-07-08 |
| 1649758798 | Yanming Jiang | Dietitian, Registered | 820 Manor Blvd, San Leandro, CA 94579-1728 | 2018-08-01 |
| 1952545170 | Ritva H Laine | Dietitian, Registered | 15235 Central Ave, San Leandro, CA 94578-3930 | 2009-05-01 |
| 1568512804 | Prabha Tadiboyana | Dietitian, Registered | 1440 168th Avenue, Kaiser Post Acute Care Center, San Leandro, CA 94578 | 2007-01-11 |
| 1093801649 | Mary Elizabeth Debusman | Dietitian, Registered | 1000 San Leandro Blvd, San Leandro, CA 94577-1598 | 2006-10-04 |
| 1134613102 | Jasmeen Banwait | Dietitian, Registered | 2500 Merced St, San Leandro, CA 94577-4201 | 2018-06-21 |
| 1063954238 | Megan Moore | Dietitian, Registered | 2500 Merced St, San Leandro, CA 94577 | 2016-11-04 |
| 1669825758 | Olivia Chang | Dietitian, Registered | 2500 Merced St, San Leandro, CA 94577-4201 | 2016-07-13 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94577 |
Please comment or provide details below to improve the information on MARY P. 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.