KIM SULLIVAN (NPI# 1679766174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679766174 |
| Entity Type | Individual |
| Full Name | KIM SULLIVAN |
| Credential | RN |
| Practice Address |
1022 Florida Ave S Suite 6 Rockledge FL 32955-2145 |
| Practice Telephone | 3216377700 |
| Practice Fax Number | 3216377707 |
| Mailing Telephone | 3216377700 |
| Mailing Fax Number | 3216377707 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
RN 3265202 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831609809 | Kim Sullivan | Counselor | 10a Chisholm Trl, Round Rock, TX 78681 | 2017-10-04 |
| 1891957759 | Kim Leann Sullivan | Dental Hygienist | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2008-07-01 |
| 1346347465 | Kim A Sullivan | Counselor | 640 Walnut St, Reading, PA 19601-3504 | 2006-09-20 |
| Street Address |
1022 FLORIDA AVE S SUITE 6 |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-2145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639232176 | Kenneth W Korey Md Pa | Surgery | 1022 Florida Ave S, Suite 1, Rockledge, FL 32955-2145 | 2006-12-18 |
| 1992944722 | Brenda L. Laboy | Social Worker | 1022 Florida Ave S, Ste 6, Rockledge, FL 32955-2145 | 2009-02-18 |
| 1407020944 | Maria F Wolfgram | Registered Nurse | 1022 Florida Ave S, Suite 6, Rockledge, FL 32955-2145 | 2008-04-16 |
| 1336321736 | Eileen M Burke | Registered Nurse | 1022 Florida Ave S, Suite 6, Rockledge, FL 32955-2145 | 2007-11-28 |
| 1386762722 | Jessica Ann Trio | Occupational Therapist | 1022 Florida Ave S, Rockledge, FL 32955-2145 | 2007-03-26 |
| 1518084219 | Mary Carol Riordan | Registered Nurse | 1022 Florida Ave S, Suite 6, Rockledge, FL 32955-2145 | 2007-03-26 |
| 1316065931 | Dawn Shockley | Speech-Language Pathologist | 1022 Florida Ave S, Suite 6, Rockledge, FL 32955-2145 | 2007-03-26 |
| 1942328406 | Deborah Valdivieso | Physical Therapist | 1022 Florida Ave S, Rockledge, FL 32955-2145 | 2007-03-26 |
| 1609994177 | Sunshine Sundusadee Reddy | Occupational Therapist | 1022 Florida Ave S, Suite 6, Rockledge, FL 32955-2145 | 2007-03-26 |
| 1518085943 | Eva Veronica Human | Occupational Therapist | 1022 Florida Ave S, Rockledge, FL 32955-2145 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407020944 | Maria F Wolfgram | Registered Nurse | 1022 Florida Ave S, Suite 6, Rockledge, FL 32955-2145 | 2008-04-16 |
| 1336321736 | Eileen M Burke | Registered Nurse | 1022 Florida Ave S, Suite 6, Rockledge, FL 32955-2145 | 2007-11-28 |
| 1518084219 | Mary Carol Riordan | Registered Nurse | 1022 Florida Ave S, Suite 6, Rockledge, FL 32955-2145 | 2007-03-26 |
| 1326165051 | Collett B Hall | Registered Nurse | 1022 Florida Ave S, Suite 6, Rockledge, FL 32955-2145 | 2007-03-26 |
| 1881711109 | Sandra L Somerset | Registered Nurse | 1022 Florida Ave S, Suite 6, Rockledge, FL 32955-2145 | 2007-03-23 |
| 1194842443 | Sharon B Rosman | Registered Nurse | 1022 Florida Ave S, Suite 6, Rockledge, FL 32955-2145 | 2007-03-23 |
| 1700903903 | Nancy J Salvaggio | Registered Nurse | 1022 Florida Ave S, Suite 6, Rockledge, FL 32955-2145 | 2007-03-23 |
| 1932226149 | Linda A Milo | Registered Nurse | 1022 Florida Ave S, Suite 6, Rockledge, FL 32955-2145 | 2007-03-23 |
| 1578680799 | Pauline R Sanford | Registered Nurse | 1022 Florida Ave S, Suite 6, Rockledge, FL 32955-2145 | 2007-03-23 |
| 1528185741 | Michael Peter Bailey | Registered Nurse | 1022 Florida Ave S, Suite 6, Rockledge, FL 32955-2145 | 2007-03-23 |
| Find all providers in ROCKLEDGE | ||||
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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.