COLLEEN MARIE SULLIVAN (NPI# 1770916959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770916959 |
| Entity Type | Individual |
| Full Name | COLLEEN MARIE SULLIVAN |
| Credential | RN/NP |
| Practice Address |
12 Biltmore Ave Chelmsford MA 01824-3202 |
| Practice Telephone | 9787718886 |
| Mailing Telephone | 9787718886 |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2260874 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348119 | Colleen Marie Sullivan | Student in an Organized Health Care Education/Training Program | 42 Mill St, Apartment 2, Dudley, MA 01571-3373 | 2013-11-29 |
| 1366715559 | Colleen Jean Sullivan | Licensed Practical Nurse | 173 Mutton Ln, Apt 2, East Weymouth, MA 02189-2434 | 2012-02-17 |
| 1891013785 | Colleen Sullivan | Pharmacist | 31 Garden Rd, Plaistow, NH 03865-2933 | 2010-05-17 |
| 1891764486 | Colleen J Sullivan | Registered Nurse | 142 E Van Buren St, Port Washington, WI 53074-1613 | 2006-03-16 |
| 1487298865 | Colleen Marie Sullivan | Counselor | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-10-29 |
| 1437702594 | Colleen Elizabeth Sullivan | Social Worker | 1011 Bingham St, Pittsburgh, PA 15203-1101 | 2019-07-18 |
| 1962947721 | Colleen Sullivan | Behavior Technician | 53869 Connor Dr, Chesterfield, MI 48051-3930 | 2017-01-03 |
| 1508300732 | Colleen Marie Sullivan | Occupational Therapist | 101 W 116th St, New York, NY 10026-2521 | 2016-12-07 |
| 1396111423 | Colleen Marie Sullivan | Pharmacist | 11449 W Palmetto Park Rd, Boca Raton, FL 33428-2659 | 2015-08-12 |
| 1003241613 | Colleen Blair Sullivan | Student in an Organized Health Care Education/Training Program | 9706 4th Ave Ne Ste 303, Northgate, Seattle, WA 98115-2199 | 2013-09-13 |
| Street Address |
12 BILTMORE AVE |
| City | CHELMSFORD |
| State | MA |
| Zip Code | 01824-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701776 | Nepsc-lowell LLC | Surgery | 33 Village Square, Chelmsford, MA 01824 | 2019-10-09 |
| 1447805015 | Owl Pediatric Therapy LLC | Speech-Language Pathologist | 360 Littleton Road, #g6, Chelmsford, MA 01824 | 2019-08-09 |
| 1083277420 | Praisey Joseph | Nurse Practitioner | Massachusetts Ent Associates, Inc, 3 Meeting House Rd Suite 24, Chelmsford, MA 01824 | 2019-04-22 |
| 1013434513 | Sherry Ranjbar | Counselor | 13 Horseshoe Rd, Chelmsford, MA 01824 | 2017-08-24 |
| 1942666250 | Alyssa Paton | Nurse Practitioner | 4 Meeting House Rd Ste 1, Chelmsford, MA 01824 | 2016-01-04 |
| 1144696675 | Serene Williams-kasili | Nurse Practitioner | 35 Village Square, Chelmsford, MA 01824 | 2015-08-19 |
| 1437536901 | Chelmsford Family Dentists PC | Dentist | 18 Boston Road, Suite 400, Chelmford, MA 01824 | 2015-05-04 |
| 1508284084 | Caitlin Polistena | Surgery | 21 Village Sqaure, Chelmsford, MA 01824 | 2014-04-02 |
| 1932442662 | Scott Finlay | Otolaryngology | 3 Meeting House Rd Ste 23and24, Chelmsford, MA 01824 | 2013-04-01 |
| 1700127925 | Safetynet Community Dental Health Center | Clinic/Center | 3 Courhouse Lane, Chelmsford, MA 01824 | 2013-03-13 |
| Find all providers in zip 01824 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346809241 | Arca Mental Health | Nurse Practitioner | 6 Boston Rd Ste 105, Chelmsford, MA 01824-3046 | 2019-06-13 |
| 1144704669 | Anna Bolton | Nurse Practitioner | 7 Summer St, Chelmsford, MA 01824-3076 | 2018-09-20 |
| 1700295672 | Emily Welsh | Nurse Practitioner | 228 Billerica Rd, Chelmsford, MA 01824-3604 | 2014-08-05 |
| 1770746836 | Sheila Swales | Nurse Practitioner | 228 Billerica Rd, Chelmsford, MA 01824-3604 | 2008-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639552 | Kelly Ann Hancock | Nurse Practitioner | 6 Margot Ln, East Bridgewater, MA 02333-1689 | 2020-11-03 |
| 1366042715 | Jacqueline Ann Owens | Nurse Practitioner | 32 Hammond Ave, Cohasset, MA 02025-1928 | 2020-10-27 |
| 1144829177 | Amiee N Caruso | Nurse Practitioner | 26 Queen St Ste 4, Worcester, MA 01610-2473 | 2020-10-21 |
| 1629676234 | Sandpiper Wellness, LLC | Nurse Practitioner | 345 Union St Unit 5, New Bedford, MA 02740-3679 | 2020-10-15 |
| 1912505777 | Samantha Deglaoui | Nurse Practitioner | 1 Clarks Hl Ste 302, Framingham, MA 01702-8172 | 2020-10-14 |
| 1699372235 | Square Behavioral Health, LLC | Nurse Practitioner | 733 Turnpike St # 162, North Andover, MA 01845-6137 | 2020-10-06 |
| 1184221046 | Abdonne Ngo Nyele Mbouadeu | Nurse Practitioner | 34 Tannery Rd, Sturbridge, MA 01518-1171 | 2020-10-05 |
| 1013524164 | Atlee Quarrier | Nurse Practitioner | 29 Birch Meadow Rd, Merrimac, MA 01860-1826 | 2020-09-23 |
| 1669086997 | Unique Psych Services LLC | Nurse Practitioner | 10 Mazzeo Dr Ste 201f, Randolph, MA 02368-3433 | 2020-09-03 |
| 1457961138 | Savina Nicole Setze | Nurse Practitioner | 15 N Beacon St Apt 914, Allston, MA 02134-1941 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
| City | CHELMSFORD |
| Zip Code | 01824 |
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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.