DAVID LEE SULLIVAN JR. (NPI# 1669966966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669966966 |
| Entity Type | Individual |
| Full Name | DAVID LEE SULLIVAN JR. |
| Practice Address |
513 Cannons Ln Louisville KY 40207-3645 |
| Practice Telephone | 5024036886 |
| Mailing Telephone | 5024036886 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154856987 | David Sullivan | Massage Therapist | 100 N Grape St Apt 303, Medford, OR 97501-3151 | 2017-04-30 |
| 1053733253 | David Sullivan | Contractor | 2823 Glover Carlton Rd, Perry, FL 32348-7640 | 2014-01-08 |
| 1023359312 | David Sullivan | Dentist | 5833 Phyliss Ln, Mint Hill, NC 28227-9031 | 2013-03-11 |
| 1952550402 | David Sullivan | Counselor | 2955 Valmont Rd Ste 110, Boulder, CO 80301-1360 | 2008-09-09 |
| 1558573956 | David E Sullivan | Social Worker | 704 Marketview Ct, Fayetteville, NC 28301-4868 | 2007-05-06 |
| 1467670026 | David Dell Sullivan | Physical Therapist | 499 Casey Way, Grand Junction, CO 81504-6281 | 2007-04-20 |
| 1578692760 | David Matthew Sullivan | Chiropractor | 104 Biddle Ave, Suite G, Harrison, OH 45030-2528 | 2007-03-05 |
| 1073648671 | David Joseph Sullivan | Optometrist | 276 S Hollywood Blvd, Steubenville, OH 43952-2422 | 2007-02-22 |
| 1033276837 | David Michael Sullivan | Dentist | 5177 N Bend Rd, Cincinnati, OH 45211-1900 | 2007-01-02 |
| 1720160575 | David R Sullivan | Dentist | 2713 Pinedale Rd, Greensboro, NC 27408-4713 | 2006-10-20 |
| Street Address |
513 CANNONS LN |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607605 | Yasmeen Barnes | Case Manager/Care Coordinator | 10207 Allentree Pl, Louisville, KY 40229-2214 | 2020-10-22 |
| 1851914048 | Ryon Piphus | Case Manager/Care Coordinator | 1169 Eastern Pkwy Ste 336, Louisville, KY 40217-1417 | 2020-05-21 |
| 1154969129 | Michelle Rae Hicks | Case Manager/Care Coordinator | 1151 S 4th St Ste 208, Louisville, KY 40203-3101 | 2019-12-20 |
| 1992340699 | Sharmika Berry | Case Manager/Care Coordinator | 3728 Chamberlain Ct, Louisville, KY 40241-1753 | 2019-11-17 |
| 1790320570 | Yinethia Brown | Case Manager/Care Coordinator | 8425 Biggin Hill Ln, Louisville, KY 40220-4107 | 2019-11-15 |
| 1508412859 | Erika Lynum | Case Manager/Care Coordinator | 3709 Modesto Rd, Louisville, KY 40299-1443 | 2019-08-13 |
| 1487215703 | Flore Cogswell | Case Manager/Care Coordinator | 3301 Protege Pl Unit 102, Louisville, KY 40245-7731 | 2019-06-26 |
| 1699234849 | Amanda Brown | Case Manager/Care Coordinator | 4405 Bridgeman Ct, Louisville, KY 40218-3039 | 2019-03-18 |
| 1629535430 | Cynthia Sue Howard | Case Manager/Care Coordinator | 103 Wickfield Dr, Louisville, KY 40245-4054 | 2019-02-28 |
| 1033609367 | Derrick Arnold | Case Manager/Care Coordinator | 4835 Poplar Level Rd Ste 119, Louisville, KY 40213-2905 | 2018-05-11 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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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.