MELISSA A SULLIVAN (NPI# 1801123856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801123856 |
| Entity Type | Individual |
| Full Name | MELISSA A SULLIVAN |
| Credential | RD, CD-N |
| Practice Address |
95 Woodland St Suite 200 Hartford CT 06105-1230 |
| Practice Telephone | 8607147447 |
| Practice Fax Number | 8607270242 |
| Mailing Telephone | 8607147447 |
| Mailing Fax Number | 8607270242 |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 136A00000X | Dietetic Technician, Registered | 000643 | CT | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982021366 | Melissa Sullivan | Pharmacist | 12810 S Tryon St, Charlotte, NC 28273-6949 | 2014-03-24 |
| 1164771390 | Melissa Anne Sullivan | Social Worker | 305 Timber Ridge Ct, Joliet, IL 60431-1703 | 2012-09-04 |
| 1083912281 | Melissa T Sullivan | Dental Hygienist | 67344 Trout Rd, Montrose, CO 81403-8670 | 2011-03-11 |
| 1790086221 | Melissa Anne Sullivan | Nurse Practitioner | 141 E Glaucus St, Apt A, Encinitas, CA 92024-1603 | 2010-11-15 |
| 1316170236 | Melissa Sullivan | Occupational Therapist | 6929 N Roxbury Mill Rd, Spotsylvania, VA 22551-2440 | 2009-08-26 |
| 1396345641 | Melissa N Sullivan | Pharmacist | 8300 W 135th St, Overland Park, KS 66223-1143 | 2020-10-27 |
| 1831697796 | Melissa Irene Sullivan | Pharmacist | 612 E Main St, Hohenwald, TN 38462-2008 | 2018-01-25 |
| 1346767118 | Melissa Jane Sullivan | Speech-Language Pathologist | 44444 Mound Rd Ste 610, Sterling Heights, MI 48314 | 2017-08-23 |
| 1275913832 | Melissa Lynn Sullivan | Registered Nurse | 460 W 10th Ave, Columbus, OH 43210-1240 | 2015-06-08 |
| 1104211135 | Melissa Sullivan | Psychiatry & Neurology | 2000 Warrington Way Ste 210, Louisville, KY 40222-6409 | 2015-04-06 |
| Street Address |
95 WOODLAND ST SUITE 200 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467544239 | Connecticut Surgeons, LLC | Surgery | 95 Woodland St, Second Floor, Hartford, CT 06105 | 2006-09-29 |
| 1699095224 | Vladimir Paul Daoud | Surgery | 95 Woodland St, Hartford, CT 06105 | 2010-06-05 |
| 1982939682 | Central Ct Surgeons, LLC | Nurse Practitioner | 95 Woodland St, 2nd Floor, Hartford, CT 06105-1230 | 2009-10-14 |
| 1376789610 | Kimberly Anne Caprio | Surgery | 95 Woodland St, Breast Center, Hartford, CT 06105-1230 | 2008-12-16 |
| 1497968721 | Nissin Nahmias-capon | Surgery | 95 Woodland St, 2nd Floor, Hartford, CT 06105-1230 | 2007-05-07 |
| 1891811444 | Francis Ascencio Gouveia IIi | Specialist/Technologist | 95 Woodland St, Hartford, CT 06105-1230 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 136A00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietetic Technician, Registered |
| A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447718895 | Kira Pantschenko | Dietetic Technician, Registered | 70 Ridgefield Rd, Wilton, CT 06897-3005 | 2019-03-05 |
| 1881168193 | Cindy Elizabeth Mcauliffe | Dietetic Technician, Registered | 13 Barwood Mnr, Unionville, CT 06085-1211 | 2019-01-20 |
| 1083801591 | Carol Ann Bernard | Dietetic Technician, Registered | 71 Haynes Street, Manchester Memorial Hospital, Manchester, CT 06040 | 2007-09-28 |
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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.