CORINNE SULLIVAN (NPI# 1669909461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669909461 |
Entity Type | Individual |
Full Name | CORINNE SULLIVAN |
Practice Address |
8686 S 1300 E Sandy UT 84094-1947 |
Practice Telephone | 8017090748 |
Practice Fax Number | 8016099852 |
Mailing Telephone | 8017090748 |
Mailing Fax Number | 8016099852 |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376777078 | Corinne Kravitz Sullivan | Pediatrics | 7 Dunning St, Claremont, NH 03743 | 2009-05-08 |
Street Address |
8686 S 1300 E |
City | SANDY |
State | UT |
Zip Code | 84094-1947 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053840140 | Camille Sullivan | Counselor | 8686 S 1300 E, Sandy, UT 84094-1947 | 2017-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
Find all providers in zip 84094 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396375663 | Mikki Proffitt | Counselor | 19595 Se Martin Rd, Sandy, OR 97055-8241 | 2020-01-24 |
1972133783 | Aspire365, LLC | Counselor | 772 E 8230 S, Sandy, UT 84094-0679 | 2020-01-21 |
1811486442 | Paul Stiles Randak | Counselor | 850 E 9400 S Ste 103, Sandy, UT 84094-4104 | 2018-05-09 |
1730550690 | Ryan Barber | Counselor | 8961 S Stony Bend Ct, Sandy, UT 84094-7713 | 2015-10-16 |
1649685009 | Sandy Counseling Center LLP | Counselor | 39084 Proctor Blvd, Suite E, Sandy, OR 97055-8064 | 2014-06-24 |
1457482242 | Changes Counseling & Consultation, LLC | Counselor | 7370 Creek Rd Ste 102, Sandy, UT 84093-6162 | 2007-03-07 |
1154834398 | Alema Harrington | Counselor | 9160 S 300 W Ste 13, Sandy, UT 84070-2656 | 2017-11-09 |
1306278999 | Tammie Lue Dusoe | Counselor | 8465 S 700 E, Sandy, UT 84070-0501 | 2013-08-06 |
1275848699 | Sage J O'brien | Counselor | 230 W Towne Ridge Pkwy Ste 225, Sandy, UT 84070-2113 | 2010-08-10 |
1811052269 | Nancy Ashley | Counselor | 38872 Proctor Blvd, Sandy, OR 97055-8035 | 2006-12-26 |
Find all providers in SANDY |
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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.