MR. PATRICK BENJAMIN SULLIVAN (NPI# 1881144384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881144384 |
| Entity Type | Individual |
| Full Name | MR. PATRICK BENJAMIN SULLIVAN |
| Practice Address |
724 Sanhill Dr Lynchburg VA 24502-4924 |
| Practice Telephone | 5402907502 |
| Mailing Telephone | 5402907502 |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2255A2300 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | VA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949949 | Patrick L Sullivan | Assisted Living Facility | 3314 Dickson Rd, Anchorage, AK 99504-4035 | 2020-07-08 |
| 1629546734 | Patrick M Sullivan | Nurse's Aide | 80 Highland Cross # 1, Rutherford, NJ 07070-2122 | 2018-11-06 |
| 1427569623 | Patrick Lewis Sullivan | Non-emergency Medical Transport (VAN) | 7180 S Redwater Dr, Tucson, AZ 85757-6938 | 2017-10-16 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1740627538 | Patrick James Sullivan | Dentist | 3735 Saxonburg Blvd, Pittsburgh, PA 15238-1070 | 2013-06-03 |
| 1659631018 | Patrick Sean Sullivan | Veterinarian | 1628 Rainier Falls Dr Ne, Atlanta, GA 30329-4108 | 2012-05-20 |
| 1558656660 | Patrick M. Sullivan | Internal Medicine | 145 Palomino Way, Santa Cruz, CA 95060-1475 | 2011-06-16 |
| 1194051060 | Patrick John Sullivan | Counselor | 338b Merrimon Ave, Asheville, NC 28801-1222 | 2009-10-27 |
| 1821131087 | Patrick Sullivan | Counselor | 3617 Fir Street, San Diego, CA 92104 | 2007-02-15 |
| 1063524247 | Patrick James Sullivan | Chiropractor | 417 Uluniu St Ste H, Kailua, HI 96734-2551 | 2006-08-31 |
| Street Address |
724 SANHILL DR |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-4924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467088278 | Carrington Marie Erquiaga | Specialist/Technologist | 2101 Rivermont Ave, Lynchburg, VA 24503-4122 | 2020-03-13 |
| 1235765058 | Hailli Marie Cooke | Specialist/Technologist | 1000 Misty Mountain Rd, Lynchburg, VA 24502-3946 | 2020-03-13 |
| 1730714551 | Alonzo Lopez | Specialist/Technologist | 2133 Edinboro Ave, Lynchburg, VA 24502-5322 | 2020-03-12 |
| 1013549583 | Jacob Gachowski | Specialist/Technologist | 37 Gloucester Dr, Lynchburg, VA 24501-1127 | 2020-02-12 |
| 1528608759 | Candace Elisabeth Del Vallle | Specialist/Technologist | 200 Capstone Dr Unit 207, Lynchburg, VA 24502-5198 | 2020-01-15 |
| 1396395661 | Allyson Brantley | Specialist/Technologist | 102 Stonemill Dr Apt H, Lynchburg, VA 24502-2064 | 2019-09-18 |
| 1114581774 | Reed Worthington | Specialist/Technologist | Liberty University 1971 University Blvd, Lynchburg, VA 24515-0001 | 2019-04-29 |
| 1770147019 | Mayowa David Aribisala | Specialist/Technologist | 7612 Timberlake Rd Apt 1312, Lynchburg, VA 24502-2490 | 2019-04-23 |
| 1184287054 | Ethan Shay Tutton | Specialist/Technologist | 1000 Misty Mountain Rd Apt 165, Lynchburg, VA 24502-3947 | 2019-04-17 |
| 1457814055 | Kristina Overholt | Specialist/Technologist | 88 Briarwood Ln, Lynchburg, VA 24501-7202 | 2019-04-10 |
| Find all providers in LYNCHBURG | ||||
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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.