MR. JAMES FRED SULLIVAN (NPI# 1649384983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649384983 |
| Entity Type | Individual |
| Full Name | MR. JAMES FRED SULLIVAN |
| Credential | RKT CEP |
| Practice Address |
510 E Stoner Ave Shreveport LA 71101-4243 |
| Mailing Address |
110 Hunter Lee Ln Stonewall LA 71078-4800 |
| Practice Telephone | 3184246106 |
| Practice Fax Number | 3184295727 |
| Mailing Telephone | 3189253778 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 226300000X | Kinesiotherapist | 621 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518524404 | James Connor Sullivan | Audiologist | 1977 Butler Blvd Ste E5100, Houston, TX 77030-4101 | 2019-05-26 |
| 1255808705 | James Woodfin Sullivan | Dentist | 121 Kaneohe Ln, Bastrop, TX 78602-7252 | 2018-11-01 |
| 1003299777 | James Sullivan | Physical Therapy Assistant | 10821 Bouldercrest Drive, South Lyon, MI 48178 | 2015-06-30 |
| 1871863522 | James P Sullivan | Physical Therapy Assistant | 507 Benmosche Rd, Monticello, NY 12701 | 2012-01-11 |
| 1780974378 | James William Sullivan | Acupuncturist | 2745 High Ridge Blvd Ste 7, High Ridge, MO 63049-2200 | 2011-04-15 |
| 1730343666 | James Edward Sullivan | Counselor | 2076 Wallum Lake Rd, Pascoag, RI 02859 | 2008-07-10 |
| 1508076829 | James Michael Sullivan | Chiropractor | 702 S Rancho Santa Fe Rd, San Marcos, CA 92078-3935 | 2007-05-23 |
| 1275698524 | James J Sullivan | Dentist | 933 Broadwater Sq, Billings, MT 59101 | 2006-12-27 |
| 1932279155 | James F. Sullivan | Occupational Therapist | 184 E Chestnut St, Suite 2, Asheville, NC 28801-2377 | 2006-11-08 |
| 1689753378 | James Lowery Sullivan | Dentist | 210 South Montclair Street, Bakersfield, CA 93309 | 2006-11-03 |
| Street Address |
510 E STONER AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056456 | Philip Assaad Haddad | Internal Medicine | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2005-07-13 |
| 1124627344 | Tiffany Knesha Williams | Social Worker | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-10-19 |
| 1255938882 | Michael Phillip Parrott | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-10-06 |
| 1013524222 | Brittany Hawkins | Dietitian, Registered | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-09-30 |
| 1598376873 | Martha Stevens | Dietitian, Registered | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-08-11 |
| 1609491844 | Kenneth Charles Sweatman Jr. | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-06-13 |
| 1528682663 | Ashley Nicole Denbrock | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-06-04 |
| 1154941227 | Angel Escobedo | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-04-19 |
| 1679116784 | Allisyn Steele | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2019-10-21 |
| 1811530926 | Comis Waddell | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2019-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 226300000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Kinesiotherapist |
| A provider trained and educated in the applied science of medically prescribed therapeutic exercise, education and adapted physical activities designed to improve the quality of line and health of adults and children by developing physical fitness, increasing mobility and independence, and improving psychosocial behavior. The kinesiotherapist seeks a coach-player relationship in which he/she helps the patient/client reach the goal of becoming an independent, self-sustaining person. Kinesiotherapists, as compared with physical therapists, put more emphasis on geriatric care, reconditioning and fitness, and psychiatric care. A large percentage of kinesiotherapists practice in Veterans Administration hospitals. |
| Notes: Source: The Kinesiotherapy Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144646175 | Charles Dai-trieu Cao | Kinesiotherapist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2014-03-14 |
| 1710314356 | Jeffrey T Floyd | Kinesiotherapist | 501 E Stoner Ave, Shreveport, LA 71101-4242 | 2013-09-27 |
| 1528400884 | Russell Barmer | Kinesiotherapist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2013-07-26 |
| 1336188051 | Joshua O Yarbrough | Kinesiotherapist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2006-06-06 |
| 1083660484 | Ronald Eugene Grossi | Kinesiotherapist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2006-05-26 |
| 1144276726 | Billy Alger | Kinesiotherapist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235465188 | Dennis J. Guillot | Kinesiotherapist | 103 Four Point Dr, Raceland, LA 70394-3618 | 2009-10-28 |
| 1699707737 | Brian Edward Buckoski | Kinesiotherapist | 2495 Shreveport Hgy, Pineville, LA 71360 | 2006-07-07 |
| 1194802223 | Dale Lawrence Chatham | Kinesiotherapist | 1601 Perdido St, New Orleans, LA 70112-1262 | 2006-11-01 |
| 1669553566 | Troy L Foster | Kinesiotherapist | 1601 Perdido St, New Orleans, LA 70112-1262 | 2006-10-18 |
| 1962594853 | Voynn P. Haynes | Kinesiotherapist | 1601 Perdido St, New Orleans, LA 70112-1262 | 2006-09-28 |
| 1477588184 | Willis E Cox IIi | Kinesiotherapist | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2006-07-11 |
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on MR. JAMES FRED 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.