SHANNON ALLISON SULLIVAN (NPI# 1730716010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730716010 |
| Entity Type | Individual |
| Full Name | SHANNON ALLISON SULLIVAN |
| Practice Address |
101 The City Drive S City Tower, Ste 400 Orange CA 92868 |
| Mailing Address |
4826 Shenandoah Ave Los Angeles CA 90056-1057 |
| Practice Telephone | 7144565691 |
| Practice Fax Number | 7144568874 |
| Mailing Telephone | 3103381113 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1295395853 | Shannon Sullivan | Durable Medical Equipment & Medical Supplies | 14095 E Exposition Ave, Aurora, CO 80012-2522 | 2019-06-17 |
| 1831725662 | Shannon Sullivan | Social Worker | 224 Alexander St, Rochester, NY 14607-4000 | 2020-03-12 |
| 1841822053 | Shannon Rose Sullivan | Speech-Language Pathologist | 9520 Prototype Ct, Reno, NV 89521-5916 | 2020-02-05 |
| 1619514239 | Shannon Michelle Sullivan | Rehabilitation Practitioner | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2019-12-02 |
| 1679048425 | Shannon Elyse Sullivan | Occupational Therapist | 14715 Ne Bel Red Rd, Bellevue, WA 98007-3940 | 2018-10-08 |
| 1174028732 | Shannon Jean Sullivan | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2018-03-27 |
| 1609392737 | Shannon Marie Sullivan | Counselor | 859 Willard St Ste 430, Quincy, MA 02169-7490 | 2017-08-21 |
| 1134596687 | Shannon Sullivan | Social Worker | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2015-08-31 |
| 1114394202 | Shannon Sullivan | Speech-Language Pathologist | 64 Main St, Sturbridge, MA 01566-1244 | 2015-08-25 |
| Street Address |
101 THE CITY DRIVE S CITY TOWER, STE 400 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104895580 | Anand K Ganesan | Dermatology | 101 The City Drive S, Uci Medical Center, Orange, CA 92868-3201 | 2006-03-16 |
| 1316576861 | Justin Prescott Chan | Student in an Organized Health Care Education/Training Program | 101 The City Drive S, Pav. 3, 2nd Floor, Orange, CA 92868 | 2020-04-06 |
| 1942836812 | Kyle Christian Dornhofer | Student in an Organized Health Care Education/Training Program | 101 The City Drive S, Rte. 128-01, Orange, CA 92868 | 2020-03-22 |
| 1255837837 | Nicholas Bove | Student in an Organized Health Care Education/Training Program | 101 The City Drive S, Rte. 128-01, Orange, CA 92868 | 2018-04-03 |
| 1942732409 | Victor Manuel Cisneros | Emergency Medicine | 101 The City Drive S, Rte. 128-01, Orange, CA 92868 | 2017-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972122109 | Benjamin Felt Bitner | Student in an Organized Health Care Education/Training Program | 101 The City Dr S # Zot5386, Orange, CA 92868-3201 | 2020-04-08 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1508492547 | Megan Rose Defuria | Student in an Organized Health Care Education/Training Program | 505 S Main St Ste 524, Orange, CA 92868-4509 | 2020-03-22 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1023661899 | Brittanee Lorynda Carranza | Student in an Organized Health Care Education/Training Program | 301 The City Dr S # 44, Orange, CA 92868-3205 | 2019-07-22 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1760047930 | Nina Christine Del Mundo | Student in an Organized Health Care Education/Training Program | 5817 E West View Dr, Orange, CA 92869-4315 | 2019-05-03 |
| 1720541048 | Elaine Christine Martin | Student in an Organized Health Care Education/Training Program | 101 The City Dr S # 2, Orange, CA 92868-3201 | 2019-04-12 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| Find all providers in ORANGE | ||||
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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.