RACHEL MARIE SULLIVAN (NPI# 1750616256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750616256 |
| Entity Type | Individual |
| Full Name | RACHEL MARIE SULLIVAN |
| Credential | RN, CNP |
| Practice Address |
345 Smith Ave N Saint Paul MN 55102-2346 |
| Mailing Address |
347 Smith Ave N Suite 302 Saint Paul MN 55102-2387 |
| Practice Telephone | 6512206000 |
| Mailing Telephone | 6512206450 |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
R157587-7 | MN | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
20091488 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
| 1215418868 | Rachel Sullivan | Dietitian, Registered | 301 Old Highway 431, Owens Cross Roads, AL 35763 | 2018-08-22 |
| 1508307000 | Rachel Colleen Sullivan | Physician Assistant | Sewickley Valley Pediatric and Adolescent Medicine, PC, 701 Broad Street, Suite 422, Sewickley, PA 15143-1652 | 2017-03-16 |
| 1164676847 | Rachel Lynn Sullivan | Speech-Language Pathologist | 34 Barbara Dr, Warwick, NY 10990-1931 | 2008-11-07 |
| 1750543294 | Rachel M. Sullivan | Psychiatry & Neurology | 1 Jarrett White Rd, Tripler Army Medical Center, Attn: Mchk-bh, Cafbhs, Honolulu, HI 96859-0000 | 2008-06-26 |
| 1235739871 | Rachel Sullivan | Student in an Organized Health Care Education/Training Program | 20102 Cedar Valley Rd Ste 106, Lynnwood, WA 98036-6332 | 2020-10-30 |
| 1336792597 | Rachel Roxanne Sullivan | Physician Assistant | 298 S Yonge St, Ormond Beach, FL 32174-6264 | 2019-07-17 |
| 1457821423 | Rachel Lynn Sullivan | Registered Nurse | 6294 State Highway 154, Sesser, IL 62884-2163 | 2018-12-03 |
| 1932614864 | Rachel Sullivan | Day Training, Developmentally Disabled Services | 4025 Rawlins St, Cheyenne, WY 82001-1900 | 2017-12-14 |
| 1801257761 | Rachel Sullivan | Nurse Practitioner | 6239 E Brown Rd, Ste 112, Mesa, AZ 85205-4933 | 2016-03-18 |
| Street Address |
345 SMITH AVE N |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174515274 | Mary Jennifer Abuzzahab | Pediatrics | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2005-08-16 |
| 1447883269 | Children's Health Care | Pharmacy | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2020-02-20 |
| 1134781800 | Maren Vanmieghem | Pharmacist | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2019-07-02 |
| 1689235467 | Sara E Mcdonnell | Registered Nurse | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2019-06-24 |
| 1003474420 | Megan A Van Hoorn | Registered Nurse | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2019-05-31 |
| 1104388644 | Cassandra Hoshor | Nurse Practitioner | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2019-04-03 |
| 1861968166 | Caitlin Marie Latta | Nurse Practitioner | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2018-10-15 |
| 1376023309 | Gianna Maria Braband | Pediatrics | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2018-08-20 |
| 1992285373 | Margaret Sharon Daseler | Pharmacist | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2018-08-15 |
| 1083191522 | Ikran Omar Hussein | Nurse Practitioner | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2018-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538644562 | Angela Ashton | Nurse Practitioner | 345 Smith Ave N Ste 404, Saint Paul, MN 55102-2346 | 2018-09-25 |
| 1558865295 | Meghan Kerry Deyo | Nurse Practitioner | 1804 7th St W Ste 200, Saint Paul, MN 55116-2300 | 2018-03-19 |
| 1811323348 | Karen Kay Hoyer | Nurse Practitioner | 310 Smith Ave N Ste 480, Saint Paul, MN 55102 | 2013-09-16 |
| 1043323678 | Kimmy S Oberstar | Nurse Practitioner | 360 Sherman St Ste 200, Childrens Specialty Clinic Psychological Services Stpl, Saint Paul, MN 55102-2567 | 2006-08-17 |
| 1255353843 | Kimberly Lynn Berg | Nurse Practitioner | 225 Smith Ave N Ste 201, Saint Paul, MN 55102-2697 | 2006-07-24 |
| 1194788810 | Janet Lowe | Nurse Practitioner | 360 Colborne St, Saint Paul, MN 55102-3228 | 2006-04-11 |
| 1184236739 | Anna Rauch | Nurse Practitioner | 200 University Ave E, Saint Paul, MN 55101-2507 | 2020-08-17 |
| 1699334904 | Jessica Determan | Nurse Practitioner | 205 Wabasha St S, Saint Paul, MN 55107-1805 | 2019-06-10 |
| 1104388644 | Cassandra Hoshor | Nurse Practitioner | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2019-04-03 |
| 1083191522 | Ikran Omar Hussein | Nurse Practitioner | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2018-07-27 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
Please comment or provide details below to improve the information on RACHEL MARIE SULLIVAN.
| 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.