MEGHAN SULLIVAN (NPI# 1740694074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740694074 |
| Entity Type | Individual |
| Full Name | MEGHAN SULLIVAN |
| Practice Address |
3920 Hampton Ave Saint Louis MO 63109-1401 |
| Practice Telephone | 3142362795 |
| Enumeration Date | 2014-06-14 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2014018618 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2014018618 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437633104 | Meghan Sullivan | Counselor | 6515 Hot Springs Way Apt B, Indianapolis, IN 46217-5238 | 2018-09-19 |
| 1487160586 | Meghan Doepke Sullivan | Nurse Practitioner | 1030 N Clark St Ste 400, Chicago, IL 60610-5468 | 2017-12-27 |
| 1699386771 | Meghan Nicole Sullivan | Physical Therapy Assistant | 301 Camino Gardens Blvd Ste 104, Boca Raton, FL 33432-5823 | 2020-08-12 |
| 1295378107 | Meghan Sullivan | Behavior Technician | 5943 Stadium Dr, Kalamazoo, MI 49009-3016 | 2019-10-23 |
| 1083268601 | Meghan Sullivan | Dietitian, Registered | 56 Franklin St, Waterbury, CT 06706-1253 | 2019-07-31 |
| 1639721590 | Meghan Marie Sullivan | Nurse Practitioner | 95 Sargent St, Belchertown, MA 01007-9881 | 2019-07-11 |
| 1174031462 | Meghan Kearns Sullivan | Nurse Practitioner | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2018-01-20 |
| 1720450588 | Meghan Sullivan | Psychologist | 111 Michigan Ave Nw, Washington, DC 20010-2916 | 2015-10-20 |
| 1205222841 | Meghan Elizabeth Sullivan | Specialist/Technologist | 1000 Hilltop Cir, Rac 221, Baltimore, MD 21250-0001 | 2015-04-10 |
| 1316357098 | Meghan F Sullivan | Social Worker | 300 Longwood Ave, Farley 1, Boston, MA 02115-5724 | 2014-05-02 |
| Street Address |
3920 HAMPTON AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63109-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295740439 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2006-07-29 |
| 1912558446 | Katie Dulle | Nurse Practitioner | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2019-09-25 |
| 1912424409 | Natalie Marie Crandall | Nurse Practitioner | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2017-08-24 |
| 1295012862 | Kymberly R Stroud | Pharmacist | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2011-11-10 |
| 1649557661 | Joshua Boudeman | Pharmacist | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2011-11-04 |
| 1972888915 | Lisa M Whitson | Pharmacist | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2011-10-20 |
| 1144505843 | Brian Huether | Pharmacist | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2011-10-14 |
| 1245513886 | Evelyn M Druger | Pharmacist | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2011-09-20 |
| 1275814543 | Carol Ann Pierchorowicz | Pharmacist | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2011-08-31 |
| 1518247139 | Danielle Ann Florek | Pharmacist | 3920 Hampton Ave, Saint Louis, MO 63109-1401 | 2011-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221160 | Zachary Wade Orr | Nurse Practitioner | 1622 S 18th St, Saint Louis, MO 63104-2504 | 2020-10-02 |
| 1073128518 | Christen Rincker | Nurse Practitioner | 2343 Hickory St, Saint Louis, MO 63104-2418 | 2020-09-11 |
| 1861026650 | Kelly Ann Clark | Nurse Practitioner | 4590 Childrens Pl, Saint Louis, MO 63110-1020 | 2020-03-02 |
| 1902444292 | Tony Duy Le | Nurse Practitioner | 1251 Hyannis Dr, Saint Louis, MO 63146-4639 | 2019-12-17 |
| 1114562154 | Lisa Pezold | Nurse Practitioner | 2029 Woodland Pkwy, Saint Louis, MO 63146-4267 | 2019-11-13 |
| 1255806527 | Rachel Ramos | Nurse Practitioner | 11133 Dunn Rd Ste 209e, Saint Louis, MO 63136-6163 | 2018-10-12 |
| 1851893341 | Jessica Rae Britt | Nurse Practitioner | 1 Barnes Jewish Hospital Plz Fl 10, 10th Fl, Saint Louis, MO 63110-1003 | 2018-03-01 |
| 1952816449 | Loreta Shahinaj | Nurse Practitioner | 12700 Southfork Rd Ste 270, Saint Louis, MO 63128-3201 | 2017-12-06 |
| 1689183832 | Natalie Michelle Barone | Nurse Practitioner | 3023 N Ballas Rd Ste 630, Saint Louis, MO 63131-2361 | 2017-09-20 |
| 1194240986 | Laura Kaesser | Nurse Practitioner | 11125 Dunn Rd Ste 204, Saint Louis, MO 63136-6188 | 2017-08-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63109 |
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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.