KATHRYN E. SULLIVAN (NPI# 1801270350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801270350 |
| Entity Type | Individual |
| Full Name | KATHRYN E. SULLIVAN |
| Other Name | KATHRYN E. BRUCK |
| Credential | CNP |
| Practice Address |
100 Campus Dr Ste 12 Portsmouth NH 03801 |
| Mailing Address |
100 Campus Dr Ste 12 Portsmouth NH 03801-5892 |
| Practice Telephone | 6034228208 |
| Practice Fax Number | 6034228218 |
| Mailing Telephone | 6034228208 |
| Mailing Fax Number | 6034228218 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2018-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2291390 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 326 Nichols Rd, Fitchburg, MA 014201914 | 9788788100 | 9788788537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942852645 | Kathryn Ann Sullivan | Occupational Therapist | 6789 Elm Valley Dr, Kalamazoo, MI 49009-7476 | 2019-07-12 |
| 1346778305 | Kathryn E Sullivan | Behavior Technician | 359 Reeves Ct, Lincoln, CA 95648-1690 | 2017-06-02 |
| 1487700167 | Kathryn Sullivan | Urology | 60 Mdg, 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2007-01-26 |
| 1225007230 | Kathryn K Sullivan | Nurse Practitioner | 246 Mill St, Leominster, MA 01453-3310 | 2006-03-14 |
| 1225016744 | Kathryn Ann Sullivan | Audiologist | 200 Ucla Medical Plz Ste 540, Los Angeles, CA 90095-8344 | 2006-01-04 |
| 1831733799 | Kathryn Sullivan | Physician Assistant | 1825 Eastchester Rd, Bronx, NY 10461-2301 | 2019-11-04 |
| 1972082857 | Kathryn Sullivan | Case Manager/Care Coordinator | 25 Old Dover Rd, Rochester, NH 03867-3464 | 2018-08-10 |
| 1972966083 | Kathryn Sullivan | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, Rm. 987, San Francisco, CA 94143-2204 | 2016-04-05 |
| 1205179066 | Kathryn Sullivan | Nurse Practitioner | 2510 El Camino Real, Carlsbad, CA 92008-1273 | 2013-03-30 |
| 1902149842 | Kathryn Ann Sullivan | Veterinarian | 247 Chickering Rd, North Andover, MA 01845-4535 | 2013-03-28 |
| Street Address |
100 CAMPUS DR STE 12 |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083916795 | Karen L Frarie | Counselor | 100 Campus Dr Ste 12, Portsmouth, NH 03801 | 2010-12-01 |
| 1245611359 | Benjamin Fulmer Goldrich | Counselor | 100 Campus Dr Ste 12, Portsmouth, NH 03801-5892 | 2015-06-15 |
| 1376970350 | Anne Macadam | Physician Assistant | 100 Campus Dr Ste 12, Portsmouth, NH 03801-5892 | 2013-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494695 | Ashlei Parker | Nurse Practitioner | 102 Sawgrass Ln, Portsmouth, VA 23703-2284 | 2020-10-13 |
| 1669082483 | Madeline Rose Grandin | Nurse Practitioner | 238 Miller Ave Apt 2, Portsmouth, NH 03801-2092 | 2020-08-06 |
| 1619597010 | Kelsey Louise Potter | Nurse Practitioner | 1911 High St, Portsmouth, OH 45662-3254 | 2020-04-26 |
| 1144856063 | Sara Cornwell Lundberg | Nurse Practitioner | 29 Dighton Ave, Portsmouth, RI 02871-5512 | 2020-03-23 |
| 1750914800 | Loyette Wong | Nurse Practitioner | 3235 Academy Ave Ste 305, Portsmouth, VA 23703-3200 | 2020-02-18 |
| 1356818876 | Sandie Katrina Elliott | Nurse Practitioner | 1 Crawford Pkwy Ste 1a, Portsmouth, VA 23704-2609 | 2018-11-02 |
| 1023585619 | Winter Marie Mcfarland | Nurse Practitioner | 1701 High St Ste 102, Portsmouth, VA 23704-2395 | 2018-11-01 |
| 1689177503 | Quickcarenp | Nurse Practitioner | 49 Prospect Parkway, Portsmouth, VA 23702 | 2018-03-16 |
| 1649788803 | Ashley Ann Rowland | Nurse Practitioner | 1729 Kinneys Ln Ste 202, Portsmouth, OH 45662-3167 | 2018-01-22 |
| 1508378894 | Caitlin Elizabeth Mullaney | Nurse Practitioner | 330 Borthwick Ave Ste 205, Portsmouth, NH 03801-7109 | 2017-10-26 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
Please comment or provide details below to improve the information on KATHRYN E. 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.