BECKY LYNN SULLIVAN


Address: 3480 Yorkshire Medical Park, Lexington, KY 40509-1886
Phone: 8592635140

BECKY LYNN SULLIVAN (NPI# 1780051110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780051110
Entity Type Individual
Full Name BECKY LYNN SULLIVAN
Credential PA
Practice Address 3480 Yorkshire Medical Park
Lexington
KY 40509-1886
Practice Telephone 8592635140
Practice Fax Number 8592635141
Mailing Telephone 8592635140
Mailing Fax Number 8592635141
Enumeration Date 2015-09-02
Last Update Date 2020-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA2056 KY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100387430 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
101 Windsor Path, Georgetown, KY 403249617 8592635140 8592635141
111 Cynthia Dr Ste 139, Nicholasville, KY 403568062 8592635140 8592635141
145 Newcomb Ave, Mount Vernon, KY 404562728 8592635140 8592635141
1868 Plaudit Pl, Lexington, KY 405092429 8592635140 8592635141
3401 Yorkshire Medical Park, Lexington, KY 405092513 8592635140 8592635141
850 Hail Knob Rd Ste B, Somerset, KY 425033418 8592635140 8592635141

Other Providers BECKY SULLIVAN

NPI Name Taxonomy Address Enumeration
1760742167 Becky Lynn Sullivan Massage Therapist 2086 Kurtz Rd, Fairview, MI 48621-9740 2012-05-21

Office Location

Street Address 3480 YORKSHIRE MEDICAL PARK
City LEXINGTON
State KY
Zip Code 40509-1886

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942294236 Juan Martin Favetto Orthopaedic Surgery 3480 Yorkshire Medical Park, Lexington, KY 40509 2005-09-01
1336793330 Ansley Swann Specialist/Technologist 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 2019-07-29
1376102020 Hannah Leigh Clayton Specialist/Technologist 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 2019-06-06
1831663327 Stephanie Nicole Dalton Specialist/Technologist, Other 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 2019-01-17
1750873527 Alyssa Jolene Hoagland Occupational Therapist 3480 Yorkshire Medical Park, Lexington, KY 40509 2018-06-06
1063887818 Christopher Bagbey Physical Therapist 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 2015-12-04
1447622394 Bluegrass Orthopaedics Psc Podiatrist 3480 Yorkshire Medical Park, Lexington, KY 40509 2015-10-30
1093064586 Kevin Denehy Orthopaedic Surgery 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 2012-08-30
1477820793 Laura M Burke Registered Nurse 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 2011-12-01
1013151448 Isaac B Caton Physician Assistant 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 2009-04-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902453640 Grace T. Hallak Counselor 513 Darby Creek Rd, Lexington, KY 40509 2019-08-19
1932755774 Lexington-fayette Urban-county Health Department Public Health or Welfare 4801 Athens Boonesboro Rd, Lexington, KY 40509 2019-08-16
1497308266 Discover You Counseling LLC Social Worker 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 2019-07-22
1407323611 Trevor Douglas Mchardy Physician Assistant 101 North Eagle Creek Drive, Lexington, KY 40509 2018-10-25
1114413184 Megan Medrano Dietitian, Registered 163 Old Todds Rd Ste 115, Lexington, KY 40509 2018-07-02
1750884292 Active Medical LLC Durable Medical Equipment & Medical Supplies 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 2018-03-12
1699273599 Frederick Douglas High School Public Health or Welfare 2000 Winchester Rd, Lexington, KY 40509 2018-01-25
1710409370 Sleep Identity Pllc Clinic/Center 541 Darby Creek Road, Ste 190, Lexington, KY 40509 2017-07-14
1164956397 Danielle Anderson Family Medicine 24 Fountain Court, Suite 225, Lexington, KY 40509 2017-04-14
1356891782 Dawn Jones Physician Assistant 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 2016-10-10
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780282095 Alison Deanne Power Physician Assistant 3209 Keithshire Way, Lexington, KY 40503-3481 2020-10-09
1588270110 Reid Van Bussum Physician Assistant 913 Fiddler Creek Way, Lexington, KY 40515-6460 2020-09-18
1790394583 Mary Luz Calderon Physician Assistant Uk Pediatric Neonatology, 800 Rose St 4th Fl, Lexington, KY 40536 2020-07-28
1689283731 Corine Maria Van Gessel Physician Assistant 800 Rose Street Neonatal Intensive Care Unit, Lexington, KY 40536-0001 2020-07-24
1942827183 Michael Dale Anthony Farran Physician Assistant 1401 Harrodsburg Rd Ste C405, Lexington, KY 40504-1748 2020-07-04
1033735204 Melissa Mccool Physician Assistant 525 Red Taffy Way, Lexington, SC 29073-2907 2020-06-23
1598389421 Storm Bryant Dutton Physician Assistant Uk Emergency Department - Chandler, 1000 S Limestone, Lexington, KY 40536 2020-06-06
1265056428 Bernard L Bell Physician Assistant 838 Bryan Ave Apt 2, Lexington, KY 40505-3540 2020-06-03
1720601545 Tyler Allen Pape Physician Assistant Uk Surgery Clinic - General, 740 S Limestone Ste L104, Lexington, KY 40536 2020-05-27
1417579269 Kacy Clinkenbeard Physician Assistant Uk Healthcare-icu, 800 Rose St, Lexington, KY 40536 2020-05-15
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Competitor

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City LEXINGTON
Zip Code 40509

Improve Information

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Dataset Information

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.

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