DR. KAREN LYNN SULLIVAN (NPI# 1619930526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619930526 |
| Entity Type | Individual |
| Full Name | DR. KAREN LYNN SULLIVAN |
| Other Name | MS. KAREN LYNN RUNDQUIST |
| Practice Address |
143 N Mccormick St Suite 103 Prescott AZ 86301-2723 |
| Practice Telephone | 9287170521 |
| Practice Fax Number | 9287783464 |
| Mailing Telephone | 9287170521 |
| Mailing Fax Number | 9287783464 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3309 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1063022648 | Karen Sullivan | Social Worker | 52 Gray Rd, Andover, MA 01810-2219 | 2020-08-07 |
| 1376961045 | Karen Marie Sullivan | Speech-Language Pathologist | 425 George Washington Tpke, Burlington, CT 06013-2606 | 2014-03-31 |
| 1073938734 | Karen Sullivan | Counselor | 111 S Virginia St Ste L03, Crystal Lake, IL 60014-5853 | 2014-03-04 |
| 1154754562 | Karen Louise Sullivan | Nurse's Aide | 1485 Timberwood Drive, Findlay, OH 45840 | 2013-08-21 |
| 1871887562 | Karen Dorothy Sullivan | Clinical Neuropsychologist | 101 Manning Dr Cb 7200, Chapel Hill, NC 27599-4817 | 2011-05-31 |
| 1003118639 | Karen Elizabeth Sullivan | Speech-Language Pathologist | 25 E 104th St, New York, NY 10029-4402 | 2010-12-02 |
| 1205145869 | Karen Sullivan | Audiologist | 349 Rose Ave, Staten Island, NY 10306-4327 | 2010-09-30 |
| 1033232293 | Karen A Sullivan | Family Medicine | 5320 Providence Rd Ste 301, Virginia Beach, VA 23464-4122 | 2007-04-10 |
| 1063508653 | Karen E Sullivan | Pathology | 5126 Hospital Drive, Covington, GA 30014 | 2006-10-04 |
| Street Address |
143 N MCCORMICK ST SUITE 103 |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-2723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679025936 | Women On The Move, LLC | Community/Behavioral Health | 143 N Mccormick St, Suite 103, Prescott, AZ 86301-2723 | 2016-11-02 |
| 1245655851 | Kimberly Dyan Harris | Naturopath | 143 N Mccormick St, Suite 102, Prescott, AZ 86301-2723 | 2014-02-19 |
| 1891095667 | Mary J Huff Psychiatric Nurse Practitioner Pllc | Nurse Practitioner | 143 N Mccormick St, Suite 103, Prescott, AZ 86301-2723 | 2010-10-27 |
| 1942532734 | Inge Gisela Bundchen | Registered Nurse | 143 N Mccormick St, #103, Prescott, AZ 86301-2723 | 2010-02-04 |
| 1720165343 | Dee Gray | Psychologist | 143 N Mccormick St, Suite 103, Prescott, AZ 86301-2723 | 2006-11-01 |
| 1992882104 | Jeannie Mehl | Counselor | 143 N Mccormick St, Suite 103, Prescott, AZ 86301-2723 | 2006-11-01 |
| 1265455125 | Arthur Lynn Heitzman | Psychologist | 143 N Mccormick St, Suite 103, Prescott, AZ 86301-2723 | 2006-07-25 |
| 1295783983 | Mary J. Huff | Nurse Practitioner | 143 N Mccormick St, Suite 103, Prescott, AZ 86301-2723 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063978997 | Vera Kurzkurt | Psychologist | 500 N Us Highway 89 Bldg 151, Prescott, AZ 86313-5001 | 2019-02-15 |
| 1962904193 | Shannon Tromp | Psychologist | 4499 E State Route 69, Prescott, AZ 86301-6731 | 2018-03-03 |
| 1356531057 | Sarah A. Edmonds | Psychologist | 300 E Willis St, Suite E, Prescott, AZ 86301-3110 | 2007-07-28 |
| 1336357953 | Patricia L. Watson | Psychologist | 948 Rough Diamond Dr, Prescott, AZ 86301-6832 | 2007-05-18 |
| 1871637322 | Betty Lee Darby | Psychologist | 1129 W Iron Springs Rd, #213, Prescott, AZ 86305-1623 | 2007-02-17 |
| 1871603225 | Nancy G Burns | Psychologist | 1680 Iron Springs Rd, Ste 103, Prescott, AZ 86305-3313 | 2006-08-30 |
| 1962433425 | David Dale Fero | Psychologist | 500 Highway 89, Mental Health 116, Prescott, AZ 86313 | 2006-07-05 |
| 1730119942 | Elaine Arena Hodge | Psychologist | 211 Grove Ave, Prescott, AZ 86301-5737 | 2006-07-04 |
| 1952386708 | Daniel Fallon | Psychologist | 143 E Merritt St, Prescott, AZ 86301-2028 | 2005-12-14 |
| 1750849865 | Bethany Bates | Psychologist | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2019-03-07 |
| Find all providers in PRESCOTT | ||||
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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.