ELIZABETH THERESA SULLIVAN (NPI# 1871082636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871082636 |
Entity Type | Individual |
Full Name | ELIZABETH THERESA SULLIVAN |
Credential | CNS |
Practice Address |
3400 Civic Center Blvd 4 West Philadelphia PA 19104 |
Mailing Address |
3400 Civic Center Blvd 4 West Philadelphia PA 19104-5127 |
Practice Telephone | 2156622300 |
Practice Fax Number | 2156140418 |
Mailing Telephone | 2156622300 |
Mailing Fax Number | 2156140418 |
Enumeration Date | 2018-05-08 |
Last Update Date | 2018-05-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
RN304635L | PA | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255947693 | Elizabeth Sullivan | Registered Nurse | 3001 Telegraph Ave Apt 301, Berkeley, CA 94705-2164 | 2020-09-21 |
1528445020 | Elizabeth Sullivan | Registered Nurse | 21 Lawrence Hill Rd, Huntington, NY 11743-3113 | 2015-05-04 |
1518378967 | Elizabeth Anne Sullivan | Student in an Organized Health Care Education/Training Program | 615 N 4th Ave, Durant, OK 74701-3907 | 2014-05-19 |
1164773479 | Elizabeth Ann Sullivan | Case Manager/Care Coordinator | 14 Cat Ridge Rd, North Salem, NY 10560-3300 | 2012-09-26 |
1659638195 | Elizabeth Ann-claire Sullivan | Psychologist | 4701 Morris St Ne Apt 601, Albuquerque, NM 87111-7715 | 2012-04-23 |
1629362645 | Elizabeth Ann Sullivan | Nurse Practitioner | 3915 Sherman Ave, Saint Joseph, MO 64506-3649 | 2011-06-07 |
1528262748 | Elizabeth A Sullivan | Counselor | 3012 Travis Ct, Midland, MI 48642-3969 | 2007-06-12 |
1265581631 | Elizabeth Ann Sullivan | Social Worker | 8245 20th Ave Ne, #4, Seattle, WA 98115-4407 | 2007-01-09 |
1881767614 | Elizabeth W Sullivan | Physical Therapist | 229 Saluda Springs Rd, Lexington, SC 29072 | 2006-11-17 |
1376655837 | Elizabeth A. Sullivan | Nurse Practitioner | 16268 Bennett Road, Uva Primary Care - Locust Grove, Culpeper, VA 22701 | 2006-08-31 |
Street Address |
3400 CIVIC CENTER BLVD 4 WEST |
City | PHILADELPHIA |
State | PA |
Zip Code | 19104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124027727 | Joel D Glickman | Internal Medicine | 3400 Civic Center Blvd, 1st Floor, Suite 300 S, Philadelphia, PA 19104-4306 | 2005-07-18 |
1841891058 | Abigail Brooke Horowitz | Nurse Practitioner | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-11-04 |
1073129532 | Samuel Kovell | Physician Assistant | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-09-21 |
1306451695 | Farzad Nourollah-zadeh | Oral Medicinist | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-09-13 |
1609492917 | Mosetta Harris | Nurse Practitioner | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-06-23 |
1063032530 | Monique Maria Tee | Internal Medicine | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-04-24 |
1609495290 | Katharine Freeman Michel | Student in an Organized Health Care Education/Training Program | 3400 Civic Center Blvd, 3rd Floor West Pavilion, Philadelphia, PA 19104 | 2020-04-13 |
1609495498 | Taha Samir Ghouleh | Student in an Organized Health Care Education/Training Program | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-04-11 |
1952930554 | Danielle Marie Lamarra | Nurse Practitioner | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-04-06 |
1982232658 | Jasmine Hwang | Student in an Organized Health Care Education/Training Program | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2020-03-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
Find all providers in zip 19104 |
Taxonomy Code | 163WD0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Diabetes Educator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063986578 | Waliyyah Shahidah Muhsin | Registered Nurse | 1348 Bainbridge St, Philadelphia, PA 19147-1810 | 2019-01-17 |
1871817577 | Hilda Rodriguez | Registered Nurse | 5600 Tabor Rd, Philadelphia, PA 19120 | 2010-03-24 |
1831206549 | Mercy Management of Sepa | Registered Nurse | 501 S 54th St, Suite 126, Philadelphia, PA 19143-1900 | 2006-08-25 |
1629080411 | Walter A Lumley | Registered Nurse | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2006-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588286041 | Emily Brooke Sapen | Registered Nurse | 90 Hope Dr Ste 3101, Hershey, PA 17033-2036 | 2020-05-07 |
1831736222 | Earnest Clayton Church | Registered Nurse | 1409 Hampden Blvd, Reading, PA 19604-1827 | 2019-12-04 |
1154886752 | Carmen Latife Pfeiffer | Registered Nurse | 104 Scenic Hill Dr, Carnegie, PA 15106-2258 | 2019-02-07 |
1437640745 | Barbara Morrison | Registered Nurse | 700 Spruce St Ste 4004th, Phila, PA 19106-4022 | 2018-05-22 |
1265963201 | Sandra Pileggi | Registered Nurse | 668 Old Stage Rd, Albrightsville, PA 18210-3302 | 2017-03-22 |
1922340587 | Julia Lynn Life | Registered Nurse | 113 Windrush Ln, Mechanicsburg, PA 17055-9236 | 2013-03-21 |
1619135423 | Joan Loudy | Registered Nurse | 300 S 6th Ave, West Reading, PA 19611-1426 | 2008-05-29 |
1932381555 | Charlotte B. Schug | Registered Nurse | 7050 Camp Hill Rd, Fort Washington, PA 19034-2210 | 2007-12-05 |
1316015670 | Pharm-assist Inc | Registered Nurse | 1256 Pennsylvania Ave, Tyrone, PA 16686-1618 | 2006-12-02 |
1306877782 | Ppg Script Inc | Registered Nurse | 111 Mill St, Grove City, PA 16127-1514 | 2006-07-05 |
Find all providers with the same taxonomy |
City | PHILADELPHIA |
Zip Code | 19104 |
Please comment or provide details below to improve the information on ELIZABETH THERESA 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.