MRS. KATIE JO SULLIVAN (NPI# 1649524059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649524059 |
| Entity Type | Individual |
| Full Name | MRS. KATIE JO SULLIVAN |
| Other Name | KATIE JO ZIMMERMAN |
| Credential | NP |
| Practice Address |
8579 Commerce Dr Ste 104 Easton MD 21601-7420 |
| Practice Telephone | 4108229133 |
| Practice Fax Number | 4108229513 |
| Mailing Telephone | 4108229133 |
| Mailing Fax Number | 4108229513 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R166423 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970251 | Katie Michelle Sullivan | Nurse Practitioner | 8630 Fenton St Ste 1200, Silver Spring, MD 20910-3808 | 2020-07-28 |
| 1730715830 | Katie Sullivan | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-03-20 |
| 1336784628 | Katie Halleran Sullivan | Nurse Practitioner | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-11-11 |
| 1033775473 | Katie Lorin Sullivan | Physical Therapist | 3947 Gulf Shores Pkwy Ste 260, Gulf Shores, AL 36542-2729 | 2019-05-10 |
| 1578022430 | Katie Sullivan | Behavior Technician | 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 | 2019-03-19 |
| 1740732080 | Katie E. Sullivan | Physical Therapist | 2106 Executive Dr, Hampton, VA 23666-2402 | 2016-11-03 |
| 1447543079 | Katie Marie Sullivan | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2011-05-16 |
| 1851556559 | Katie L Sullivan | Speech-Language Pathologist | 5040 E Shea Blvd, Suite 168, Scottsdale, AZ 85254-4600 | 2008-07-22 |
| 1073534863 | Katie Leigh Sullivan | Physical Therapist | 1630 Commanche Ave, Green Bay, WI 54313-6089 | 2006-07-21 |
| Street Address |
8579 COMMERCE DR STE 104 |
| City | EASTON |
| State | MD |
| Zip Code | 21601-7420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891015012 | Miles River Physicians | Family Medicine | 8579 Commerce Dr Ste 104, Easton, MD 21601-7420 | 2010-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356809891 | Jesse Frances Gehman | Nurse Practitioner | 3465 Nazareth Rd Ste 102, Easton, PA 18045-8359 | 2019-03-04 |
| 1740784180 | Melissa Lynn Eigenbrode | Nurse Practitioner | 511 Idlewild Ave Ste B, Easton, MD 21601-3888 | 2018-03-21 |
| 1467974246 | Michelle L Dennis | Nurse Practitioner | 5 Martin Ct, Easton, MD 21601-3833 | 2017-07-12 |
| 1689041733 | Amy Joelle Hoetzel | Nurse Practitioner | 607 Dutchmans Ln, Easton, MD 21601-3345 | 2015-08-25 |
| 1265838932 | Trisha Gill | Nurse Practitioner | 1536 Northampton St, Easton, PA 18042 | 2014-11-07 |
| 1568889095 | Julie Cohen | Nurse Practitioner | 1101 Northampton St, Easton, PA 18042-4152 | 2014-03-21 |
| 1013348473 | Village Health Care LLC | Nurse Practitioner | 373 Houlton Rd, Easton, ME 04740-4337 | 2013-12-10 |
| 1063842359 | Kathryn Heinz | Nurse Practitioner | 3701 Corriere Rd Fl 2, Easton, PA 18045-7991 | 2013-11-22 |
| 1043598444 | Lisette Vazquez | Nurse Practitioner | 8837 Roundhouse Cir, Easton, MD 21601-7903 | 2011-08-02 |
| 1730318320 | Angela R. Buck | Nurse Practitioner | 80 Center Rd, Easton, ME 04740-4337 | 2009-07-06 |
| Find all providers in EASTON | ||||
Please comment or provide details below to improve the information on MRS. KATIE JO 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.