DR. JESSICA MAE SULLIVAN (NPI# 1770197865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770197865 |
| Entity Type | Individual |
| Full Name | DR. JESSICA MAE SULLIVAN |
| Credential | AU.D. |
| Practice Address |
2900 Veterans Way Viera FL 32940-8007 |
| Mailing Address |
407 Snook Pl Cocoa FL 32927-4757 |
| Practice Telephone | 3216373788 |
| Mailing Telephone | 9548012663 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AUD004245 | GA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497380778 | Jessica Sullivan | Nurse Practitioner | 2024 Willow Pond Way, Grafton, WI 53024-9101 | 2020-03-07 |
| 1114567351 | Jessica Sullivan | Licensed Practical Nurse | 4854 Dragoo Rd, Nashport, OH 43830-9613 | 2020-01-15 |
| 1205321775 | Jessica Marie Sullivan | Behavior Technician | 28 Laurel Rd, Milton, MA 02186-1522 | 2018-06-27 |
| 1245731280 | Jessica Sullivan | Physical Therapist | 106 Tonkin St, Beaverton, MI 48612-8116 | 2018-02-26 |
| 1508265737 | Jessica Page Sullivan | Nurse Practitioner | 10 W Madison St Ste 11, Baltimore, MD 21201 | 2014-08-13 |
| 1700217502 | Jessica Sullivan | Speech-Language Pathologist | 435 S Sunset Dr, El Centro, CA 92243-5553 | 2013-12-03 |
| 1699108944 | Jessica Nicole Sullivan | Occupational Therapist | 210 S County Road 675 W, North Vernon, IN 47265-7536 | 2013-08-09 |
| 1396085304 | Jessica C Sullivan | Social Worker | 360 State Route 17m, Suite 4, Monroe, NY 10950-3443 | 2013-02-28 |
| 1285994160 | Jessica Rea Sullivan | Social Worker | 15 Belcher St, Sharon, MA 02067-1305 | 2012-05-24 |
| 1336448984 | Jessica Marie Sullivan | Counselor | 6497 Parkland Dr Ste 103d, Sarasota, FL 34243-4097 | 2011-03-22 |
| Street Address |
2900 VETERANS WAY |
| City | VIERA |
| State | FL |
| Zip Code | 32940-8007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205821808 | Ronald David Nelson | Pharmacist | 2900 Veterans Way, Viera, FL 32940-8007 | 2005-09-20 |
| 1912514597 | Lindsay Shears | Audiologist | 2900 Veterans Way, Viera, FL 32940-8007 | 2020-09-28 |
| 1528680634 | William Lucas | Technician/Technologist | 2900 Veterans Way, Viera, FL 32940-8007 | 2020-05-12 |
| 1700360062 | Michelle Mcever | Social Worker | 2900 Veterans Way, Viera, FL 32940-8007 | 2018-09-21 |
| 1235677360 | Angela Washington | Social Worker | 2900 Veterans Way, Viera, FL 32940-8007 | 2017-02-09 |
| 1245694140 | Vesta Lee Henderson | Registered Nurse | 2900 Veterans Way, Viera, FL 32940-8007 | 2016-04-07 |
| 1992189187 | Andrea Anliker | Dental Hygienist | 2900 Veterans Way, Viera, FL 32940-8007 | 2015-07-17 |
| 1043644966 | George Elkomos | Family Medicine | 2900 Veterans Way, Viera, FL 32940-8007 | 2013-08-27 |
| 1033455076 | Douglas Robert Bratholt | Social Worker | 2900 Veterans Way, Viera, FL 32940-8007 | 2012-12-19 |
| 1225386592 | Ashley Elizabeth Little | Pharmacist | 2900 Veterans Way, Viera, FL 32940-8007 | 2012-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514597 | Lindsay Shears | Audiologist | 2900 Veterans Way, Viera, FL 32940-8007 | 2020-09-28 |
| 1841748951 | Genevieve Macalalag | Audiologist | 2700 Judge Fran Jamieson Way, Viera, FL 32940-6601 | 2016-09-18 |
| 1093756421 | Dashielle Marie Febo | Audiologist | 2900 Veterans Way, Brevard Outpatient Clinic, Audiology Service, Viera, FL 32940-8007 | 2006-06-09 |
| 1447207840 | Mary Felix Vinson | Audiologist | 2900 Veterans Way, Viera, FL 32940-8007 | 2006-05-30 |
| 1922055813 | Kathleen Kopay-guevara | Audiologist | 2900 Veterans Way, Viera, FL 32940-8007 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932307 | Ashleigh Collis | Audiologist | 4132 Merrillville Dr Apt 16104, West Melbourne, FL 32904-6258 | 2020-11-05 |
| 1063013233 | Sertoma Speech & Hearing Foundation of Florida Inc | Audiologist | 6333 River Rd, New Port Richey, FL 34652-2223 | 2020-11-04 |
| 1538767801 | Teresa Jo Parsons | Audiologist | 2803 James L Redman Pkwy Ste 3, Plant City, FL 33566-9413 | 2020-10-09 |
| 1447869185 | Aliana Isabel Romero | Audiologist | 1601 Nw 12th Ave Ste 5061, Miami, FL 33136-1005 | 2020-07-29 |
| 1528676236 | Morgan Oktela | Audiologist | 12901 Bruce B Downs Blvd # 73, Tampa, FL 33612-4742 | 2020-07-20 |
| 1285251736 | Melanie Hoglievina | Audiologist | 20470 Colonial Hill Dr Unit 101, Tampa, FL 33647-3694 | 2020-07-01 |
| 1316564933 | Rachel Marie Edwards | Audiologist | 9140 Bonita Beach Rd Se, Bonita Springs, FL 34135-4291 | 2020-06-30 |
| 1225652845 | Kira Sullivan | Audiologist | 6101 Webb Rd Ste 211, Tampa, FL 33615-2865 | 2020-05-29 |
| 1134758550 | Mobile Audiology & Hearing Aids LLC | Audiologist | 905 Beach Blvd Ste B, Jacksonville Beach, FL 32250-4303 | 2020-04-07 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
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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.