JENNIFER SULLIVAN (NPI# 1851907232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851907232 |
| Entity Type | Individual |
| Full Name | JENNIFER SULLIVAN |
| Practice Address |
82884 N Pacific Hwy Creswell OR 97426-9407 |
| Practice Telephone | 5415140131 |
| Mailing Telephone | 5415140131 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 24449 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033778360 | Jennifer Sullivan | Registered Nurse | 3703 Stearns Hill Rd, Waltham, MA 02451-7134 | 2019-06-11 |
| 1558820290 | Jennifer Sullivan | Specialist/Technologist | 6799 Krenson Oaks Cir, Lakeland, FL 33810-2157 | 2019-03-12 |
| 1043780364 | Jennifer P Sullivan | Lactation Consultant, Non-RN | 33 Arlington Ave Ste 4, Poughkeepsie, NY 12603-1603 | 2018-11-29 |
| 1942750484 | Jennifer Sullivan | Physical Therapy Assistant | 518 Phillips Rd # A, Levant, ME 04456-4446 | 2016-10-07 |
| 1770953051 | Jennifer Sullivan | Occupational Therapy Assistant | 3815 W Mason Rd, Deer Park, WA 99006-9511 | 2015-09-30 |
| 1720470552 | Jennifer M Sullivan | Specialist | 88 Slocum Ave, Tappan, NY 10983-2610 | 2015-03-03 |
| 1093122475 | Jennifer Sullivan | Nurse Practitioner | 15 Gracelawn Rd Ste 203, Auburn, ME 04210-6344 | 2014-07-17 |
| 1164778635 | Jennifer Sullivan | Early Intervention Provider Agency | 51 Churchill Ln, Smithtown, NY 11787-4039 | 2012-08-02 |
| 1881956472 | Jennifer Sullivan | Specialist | 4663 189th St, Flushing, NY 11358-3834 | 2012-06-11 |
| 1316279409 | Jennifer Sullivan | Occupational Therapist | 45 S Crescent Circuit, Brighton, MA 02135-3045 | 2010-02-01 |
| Street Address |
82884 N PACIFIC HWY |
| City | CRESWELL |
| State | OR |
| Zip Code | 97426-9407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811478910 | Children First Therapy LLC | Occupational Therapist | 82322 Bear Creek Road, Creswell, OR 97426 | 2018-08-27 |
| 1194268904 | Marrx, Inc | Pharmacy | 175 East Oregon Ave, Creswell, OR 97426 | 2016-11-28 |
| 1932419546 | Allen Dean Bottorff | Registered Nurse | 83010 Hungry Hill, Creswell, OR 97426 | 2010-10-15 |
| 1447570668 | Tamara Blum Dc PC | Clinic/Center | 24 West Oregon Avenue, Creswell, OR 97426 | 2010-06-10 |
| 1538313879 | Gabrielle Morningstar | Registered Nurse | 32922 Lynx Hollow Rd, Creswell, OR 97426 | 2008-11-13 |
| 1750538864 | Robin Jay Edwards | Specialist/Technologist, Other | 82090 Bear Creek Rd, Creswell, OR 97426 | 2008-08-20 |
| 1871749002 | Therapeutic Associates, Inc. | Occupational Therapist | 182 Melton Rd, Creswell, OR 97426 | 2008-08-07 |
| 1063507762 | Joanne M O'brien | Nurse Practitioner | 180 Melton Rd, Creswell, OR 97426 | 2006-10-04 |
| 1679664148 | Matthew Bahen | Dentist | 195 Melton Rd., Creswell, OR 97426 | 2006-09-27 |
| 1265545560 | Richard Moe Page | Dentist | 225 W Oregon Ave, Creswell, OR 97426 | 2006-08-17 |
| Find all providers in zip 97426 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117758 | Lisa D Linnell-olsen | Massage Therapist | 30545 Camas Swale Rd, Creswell, OR 97426-9833 | 2019-11-01 |
| 1225394299 | Chelsea K Pisani | Massage Therapist | 24 W Oregon Ave, Creswell, OR 97426-9259 | 2012-04-04 |
| 1285952788 | Katherine M Morgan | Massage Therapist | 714 N 1st St, Creswell, OR 97426-9877 | 2010-05-07 |
| 1215177936 | Jennifer Konow | Massage Therapist | 55 Honer Loop, Creswell, OR 97426-9899 | 2009-02-21 |
| 1265934970 | Kara Webster | Massage Therapist | 600 Dale Kuni Rd, Creswell, OR 97426-9874 | 2018-03-08 |
| 1902101454 | Jana R Lee | Massage Therapist | 281 W Oregon Ave, Creswell, OR 97426-9605 | 2011-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
| 1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
| 1770183048 | Anna Schenk | Massage Therapist | 497 Sw Century Dr Ste 105, Bend, OR 97702-1167 | 2020-10-27 |
| 1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
| 1194324269 | Puanani Reid | Massage Therapist | 280 E Hersey St Ste B17, Ashland, OR 97520-1293 | 2020-10-20 |
| 1720686488 | Olivia Berryessa | Massage Therapist | 709 N Phoenix Rd, Medford, OR 97504-9488 | 2020-10-15 |
| 1548868466 | Massage Central LLC | Massage Therapist | 119 S Calapooia St, Sutherlin, OR 97479-8545 | 2020-10-13 |
| 1396343182 | Loretta K Bliss | Massage Therapist | 1635 Chemawa Rd Ne, Keizer, OR 97303-3639 | 2020-10-13 |
| 1982202149 | Hannah J Hamel | Massage Therapist | 1816 Cal Young Rd Apt 102, Eugene, OR 97401-2019 | 2020-10-11 |
| 1003414269 | Carlee Nicole Demore | Massage Therapist | 56880 Venture Ln # 215s, Sunriver, OR 97707-2158 | 2020-10-10 |
| Find all providers with the same taxonomy | ||||
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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.