SHANNON MICHELLE SULLIVAN (NPI# 1619514239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619514239 |
| Entity Type | Individual |
| Full Name | SHANNON MICHELLE SULLIVAN |
| Practice Address |
679 S New Hampshire Ave Los Angeles CA 90005-1355 |
| Mailing Address |
3561 E 6th St Los Angeles CA 90023-1711 |
| Practice Telephone | 6262545000 |
| Mailing Telephone | 4133865500 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1295395853 | Shannon Sullivan | Durable Medical Equipment & Medical Supplies | 14095 E Exposition Ave, Aurora, CO 80012-2522 | 2019-06-17 |
| 1730716010 | Shannon Allison Sullivan | Student in an Organized Health Care Education/Training Program | 101 The City Drive S, City Tower, Ste 400, Orange, CA 92868 | 2020-03-25 |
| 1831725662 | Shannon Sullivan | Social Worker | 224 Alexander St, Rochester, NY 14607-4000 | 2020-03-12 |
| 1841822053 | Shannon Rose Sullivan | Speech-Language Pathologist | 9520 Prototype Ct, Reno, NV 89521-5916 | 2020-02-05 |
| 1679048425 | Shannon Elyse Sullivan | Occupational Therapist | 14715 Ne Bel Red Rd, Bellevue, WA 98007-3940 | 2018-10-08 |
| 1174028732 | Shannon Jean Sullivan | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2018-03-27 |
| 1609392737 | Shannon Marie Sullivan | Counselor | 859 Willard St Ste 430, Quincy, MA 02169-7490 | 2017-08-21 |
| 1134596687 | Shannon Sullivan | Social Worker | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2015-08-31 |
| 1114394202 | Shannon Sullivan | Speech-Language Pathologist | 64 Main St, Sturbridge, MA 01566-1244 | 2015-08-25 |
| Street Address |
679 S NEW HAMPSHIRE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90005-1355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235205782 | Cipriano Edward Pinkney | Counselor | 679 S New Hampshire Ave, 400, Los Angeles, CA 90005-1355 | 2006-11-27 |
| 1366059669 | Catarina F Fleury | Registered Nurse | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2020-09-30 |
| 1154941821 | Daniel Mendez | Case Manager/Care Coordinator | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2020-04-22 |
| 1891320909 | Isabella Ballerini | Case Manager/Care Coordinator | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2020-03-09 |
| 1396394094 | Jessica Destiny Jones | Student in an Organized Health Care Education/Training Program | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-09-05 |
| 1518519313 | Edward K Cho | Case Manager/Care Coordinator | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-07-11 |
| 1679134886 | Joshua Xiong | Counselor | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-06-27 |
| 1114586310 | Alejandro De La Torre | Student in an Organized Health Care Education/Training Program | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-06-11 |
| 1063078202 | Wendell Sacramento | Licensed Psychiatric Technician | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-05-14 |
| 1710543012 | Rhea Bayan | Licensed Psychiatric Technician | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964680 | Hong Il Kim | Dentist | 610 South Havard Blvd, 101, Los Angeles, CA 90005 | 2020-02-13 |
| 1467929265 | Galina Vardanyan | Optometrist | 621 S Western Ave Ste 214, Los Angeles, CA 90005 | 2018-10-30 |
| 1740761642 | Kyung Sook Chung | Acupuncturist | 603 S Mariposa Ave #102, Los Angeles, CA 90005 | 2018-08-28 |
| 1891274155 | Chinese Healing Arts, Inc | Acupuncturist | 2837 Hyperion Ave, Los Angeles, CA 90005 | 2018-08-08 |
| 1992298624 | Hak S. Choi Dds Inc | Dentist | 680 Wilshire Pl Ste 314, Los Angeles, CA 90005 | 2018-06-07 |
| 1891287918 | Marlene Sanchez Torres | Counselor | 679 S New Hampshire Ave # 400, Los Angeles, CA 90005 | 2018-06-04 |
| 1255828562 | Arianna Houriani | Student in an Organized Health Care Education/Training Program | 714 S Plymouth Blvd, Los Angeles, CA 90005 | 2018-04-23 |
| 1548776404 | Destiny Ann Galvan | Licensed Psychiatric Technician | 679 New Hamshire Ave, Los Angeles, CA 90005 | 2017-12-14 |
| 1255859385 | Tiany Siao Tian So | Dietitian, Registered | 740 S St Andrew Pl, Apt 15, Los Angeles, CA 90005 | 2017-09-08 |
| 1962931246 | Jooyong Shin | Acupuncturist | 400 S Western Ave #203, Los Angeles, CA 90005 | 2017-06-08 |
| Find all providers in zip 90005 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013757 | Terrisa Noel-rivera Luna | Rehabilitation Practitioner | 11303 Wilshire Blvd Bld 116, Los Angeles, CA 90025-5069 | 2020-05-01 |
| 1063046795 | Leanne Margaret Cremin | Rehabilitation Practitioner | 2285 Westwood Blvd, Los Angeles, CA 90064-2017 | 2020-03-03 |
| 1720610421 | Ronmoe Inc | Rehabilitation Practitioner | 2025 Westwood Blvd, Los Angeles, CA 90025-6328 | 2020-02-10 |
| 1104390723 | Joana Rodriguez | Rehabilitation Practitioner | 3731 Stocker St., Suite 105, Los Angeles, CA 90008 | 2019-01-16 |
| 1376055145 | Gentle F Carcamo | Rehabilitation Practitioner | 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 | 2017-11-01 |
| 1114445848 | Claudia Melgar | Rehabilitation Practitioner | 1540 Alcazar St # St133, Los Angeles, CA 90089-0080 | 2017-09-01 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1295257111 | Freddy Pablo | Rehabilitation Practitioner | 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 | 2017-07-12 |
| 1356893796 | Rosemary Marroquin | Rehabilitation Practitioner | 511 N Harvard Blvd, Los Angeles, CA 90004-1906 | 2016-11-02 |
| 1902356520 | Aida Kimberly Escobar | Rehabilitation Practitioner | 2715 E 5th St, Los Angeles, CA 90033-4422 | 2016-10-06 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90005 |
Please comment or provide details below to improve the information on SHANNON 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.