KERRIE L SULLIVAN (NPI# 1619074077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619074077 |
| Entity Type | Individual |
| Full Name | KERRIE L SULLIVAN |
| Credential | RN CFNP MSN |
| Practice Address |
1000 Bestgate Rd Ste 400 Annapolis MD 21401 |
| Mailing Address |
1000 Bestgate Rd Ste 400 Annapolis MD 21401-3371 |
| Practice Telephone | 4102662720 |
| Practice Fax Number | 4102240209 |
| Mailing Telephone | 4102662720 |
| Mailing Fax Number | 4102240209 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R121234 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 411894400 | 05 | |
| BCBS MD | 88989503 | 01 | |
| MD | BCBS | 88989506 | 01 |
| MD | BCBS | 88989504 | 01 |
| DC | BCBS | D3800008 | 01 |
| MD | BCBS | 88989507 | 01 |
| BCBS DC | J4570008 | 01 | |
| DC | BCBS | W8490005 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2002 Medical Pkwy, Suite 430, Annapolis, MD 214013046 | 4102662720 | 4102240209 |
| Street Address |
1000 BESTGATE RD STE 400 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326046327 | Gary Alfred Dix | Neurological Surgery | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401-3371 | 2005-07-13 |
| 1720553159 | Alexandre Andre Debetencourt | Physician Assistant | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401-3371 | 2018-10-12 |
| 1700396892 | Kevin Slayton | Physician Assistant | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401-3371 | 2017-10-03 |
| 1093041295 | Dana K Cotham | Physician Assistant | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401-3371 | 2009-10-22 |
| 1942330667 | Simi Okuboye | Nurse Practitioner | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401 | 2007-03-06 |
| 1689727141 | Karen J Scott | Physician Assistant | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401 | 2007-01-19 |
| 1649211343 | Wendy J Riekers | Physician Assistant | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401 | 2006-06-10 |
| 1396713913 | Maryland Brain Spine & Pain LLC | Neurological Surgery | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401-3371 | 2006-03-09 |
| 1720053069 | Franklin R Hepfer | Physician Assistant | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401-3371 | 2006-02-21 |
| 1013915883 | Brian J Sullivan | Neurological Surgery | 1000 Bestgate Rd Ste 400, Annapolis, MD 21401 | 2005-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807841 | Lauren Audrey Skinner | Nurse Practitioner | 616 Admiral Dr Apt 377, Annapolis, MD 21401-7526 | 2020-07-06 |
| 1174186589 | Danielle Bagdon | Nurse Practitioner | 726 Darlow Dr, Annapolis, MD 21409-7501 | 2019-04-22 |
| 1689163412 | Crystal Moss Patterson | Nurse Practitioner | 1910 Towne Centre Blvd Ste 210, Annapolis, MD 21401-3675 | 2018-05-07 |
| 1881193829 | Lauren Usilton | Nurse Practitioner | 2000 Medical Pkwy Ste 607, Annapolis, MD 21401-3748 | 2018-02-05 |
| 1467968503 | Brooke Anne Calhoun | Nurse Practitioner | 2000 Medical Pkwy Ste 310, Annapolis, MD 21401-3754 | 2017-12-27 |
| 1790206266 | Krista Jean Roberts | Nurse Practitioner | 1616 Forest Dr Ste 1, Annapolis, MD 21403-1019 | 2017-07-05 |
| 1588113435 | Ashley Arleen Starnes | Nurse Practitioner | 202 N Allen St, Annapolis, MO 63620-8778 | 2016-10-03 |
| 1689856353 | Lorri Tereese King | Nurse Practitioner | 1911 Towne Centre Blvd, Annapolis, MD 21401-3020 | 2007-12-04 |
| 1093901274 | Deborah M. Reid | Nurse Practitioner | 105 Annapolis St Ste B, Annapolis, MD 21401-1360 | 2007-09-20 |
| 1518925023 | Anne P Stelmash | Nurse Practitioner | 2000 Medical Pkwy Ste 510, Annapolis, MD 21401-3747 | 2006-05-03 |
| Find all providers in ANNAPOLIS | ||||
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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.