PHILIP SULLIVAN (NPI# 1679726624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679726624 |
| Entity Type | Individual |
| Full Name | PHILIP SULLIVAN |
| Credential | RN |
| Practice Address |
10000 Bay Pines Blvd. Bay Pines FL 33774 |
| Mailing Address |
7036 70th St. Pinellas Park FL 33781 |
| Practice Telephone | 7273986661 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN9175091 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982897385 | Philip R Sullivan | Psychiatry & Neurology | 393 Worcester Rd, 2nd Floor, Framingham, MA 01701-5366 | 2007-08-20 |
| 1447477583 | Philip J Sullivan | Emergency Medicine | 191 E Orchard Rd, Ste 102ne, Littleton, CO 80121-8000 | 2007-04-19 |
| 1790830792 | Philip Sullivan | Psychiatry & Neurology | 831 State Highway 150 S, Evanston, WY 82930-5340 | 2007-01-23 |
| 1538234661 | Philip Robert Sullivan | Internal Medicine | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2006-11-22 |
| 1871528182 | Philip Sullivan | Emergency Medicine | 400 N Mcdowell Blvd, Petaluma, CA 94954-2339 | 2006-07-12 |
| 1902834484 | Philip Wright Sullivan | Psychiatry & Neurology | 29 Northwest Blvd, Nashua, NH 03063-4068 | 2006-06-30 |
| Street Address |
10000 BAY PINES BLVD. |
| City | BAY PINES |
| State | FL |
| Zip Code | 33774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356333652 | Anita K. Truitt | Pharmacist | 10000 Bay Pines Blvd., Bay Pines, FL 33744 | 2005-08-22 |
| 1407167422 | Nicole Storm Lamb | Pharmacist | 10000 Bay Pines Blvd., Bay Pines, FL 33744 | 2010-06-24 |
| 1215251350 | Ronaldo Urbe Santos | Physical Therapist | 10000 Bay Pines Blvd., Bay Pines Va Medical Center, Bay Pines, FL 33504 | 2010-03-18 |
| 1780815613 | Maria Elana Taylor | Social Worker | 10000 Bay Pines Blvd., Building 1, Acute Care Psychiatry 1-4, Bay Pines, FL 33744 | 2009-07-27 |
| 1518104017 | Jason Corbin Steward | Psychologist | 10000 Bay Pines Blvd., Bay Pines Va Healthcare System, Bay Pines, FL 33774 | 2009-01-21 |
| 1750530929 | Angel Miguel Alvarez | Dietitian, Registered | 10000 Bay Pines Blvd., Bay Pines, FL 33744-5005 | 2008-09-12 |
| 1780830729 | Elizabeth Talmage | Audiologist | 10000 Bay Pines Blvd., Bay Pines, FL 33744 | 2008-08-11 |
| 1043470610 | Catherine Tomyn Minerva | Nurse Practitioner | 10000 Bay Pines Blvd., Bay Pines, FL 33744 | 2008-06-16 |
| 1164693339 | Jean Dana Quinones | Social Worker | 10000 Bay Pines Blvd., Bay Pines, FL 33744 | 2008-03-17 |
| 1851561088 | Tiffany Truong | Pharmacist | 10000 Bay Pines Blvd., Bay Pines, FL 33744 | 2008-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930818 | Anthea Marina Dsouza | Physical Therapist | 3500 Oak Manor Lane, Largo, FL 33774 | 2018-07-29 |
| 1265918874 | Bertishia Lashanti Mosley | Home Health | 2308 Fulton Way, Largo, FL 33774 | 2018-07-17 |
| 1639660699 | Tanya Jadhav | Dentist | 12963 Walsingham Rd, Largo, FL 33774 | 2018-05-25 |
| 1588001390 | Lindsay Erin Spotts | Dietitian, Registered | 14763 Sunset Drive, Largo, FL 33774 | 2013-06-03 |
| 1235572314 | Jasmine Gardens LLC | Assisted Living Facility | 11355 131st St, Largo, FL 33774 | 2013-04-09 |
| 1033484183 | The Body Masters, Inc | Massage Therapist | 12552 Indian Rocks Road, Largo, FL 33774 | 2012-03-21 |
| 1902112923 | Christie Youssef | Family Medicine | 2025 Indian Rocks Rd., Largo, FL 33774 | 2010-08-27 |
| 1568777548 | Lee Laravia | General Practice | 2025 Indian Rocks Rd, Largo, FL 33774 | 2010-08-13 |
| 1699957068 | Indian Oaks Incorporated | Assisted Living Facility | 11355 131st Street North, Largo, FL 33774 | 2007-11-28 |
| 1487867164 | Eric Nathan Grosch | Internal Medicine | 11800 Hammock Drive, Largo, FL 33774 | 2007-05-08 |
| Find all providers in zip 33774 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508555 | Jesse James Callahan | Registered Nurse | Jerri-jean Miller, Clinical Staff Affairs Va Healthcare System, Bay Pines, FL 33744 | 2019-10-01 |
| 1497376925 | Olabisi Ajani | Registered Nurse | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-05-06 |
| 1851897227 | Christopher Marley | Registered Nurse | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2018-04-03 |
| 1043766132 | Jade Franklin | Registered Nurse | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2016-08-29 |
| 1083160121 | Emma Morningstar | Registered Nurse | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2016-08-29 |
| 1750779831 | Andrea Z Hugertne | Registered Nurse | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2014-12-25 |
| 1174932180 | Elizabeth Lemons | Registered Nurse | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2014-08-05 |
| 1992136832 | Maegan Nicole Faber | Registered Nurse | 10000 Bay Pines Blvd, Nephrology Clinic, Bay Pines, FL 33744-8200 | 2013-12-03 |
| 1679902423 | Suraj Wagh | Registered Nurse | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2013-11-02 |
| 1528400801 | Julie Ann Mefferd | Registered Nurse | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2013-07-26 |
| Find all providers in BAY PINES | ||||
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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.