KAREN D SULLIVAN (NPI# 1881692812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881692812 |
| Entity Type | Individual |
| Full Name | KAREN D SULLIVAN |
| Credential | APRN |
| Practice Address |
375 East Center Street Manchester CT 06040 |
| Mailing Address |
Po Box 3249 29 Naek Rd Suite 5 Vernon CT 06066 |
| Practice Telephone | 8606460166 |
| Practice Fax Number | 8606437574 |
| Mailing Telephone | 8608961422 |
| Mailing Fax Number | 8608961425 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2015-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 001637 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
001637 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1063022648 | Karen Sullivan | Social Worker | 52 Gray Rd, Andover, MA 01810-2219 | 2020-08-07 |
| 1376961045 | Karen Marie Sullivan | Speech-Language Pathologist | 425 George Washington Tpke, Burlington, CT 06013-2606 | 2014-03-31 |
| 1073938734 | Karen Sullivan | Counselor | 111 S Virginia St Ste L03, Crystal Lake, IL 60014-5853 | 2014-03-04 |
| 1154754562 | Karen Louise Sullivan | Nurse's Aide | 1485 Timberwood Drive, Findlay, OH 45840 | 2013-08-21 |
| 1871887562 | Karen Dorothy Sullivan | Clinical Neuropsychologist | 101 Manning Dr Cb 7200, Chapel Hill, NC 27599-4817 | 2011-05-31 |
| 1003118639 | Karen Elizabeth Sullivan | Speech-Language Pathologist | 25 E 104th St, New York, NY 10029-4402 | 2010-12-02 |
| 1205145869 | Karen Sullivan | Audiologist | 349 Rose Ave, Staten Island, NY 10306-4327 | 2010-09-30 |
| 1033232293 | Karen A Sullivan | Family Medicine | 5320 Providence Rd Ste 301, Virginia Beach, VA 23464-4122 | 2007-04-10 |
| 1063508653 | Karen E Sullivan | Pathology | 5126 Hospital Drive, Covington, GA 30014 | 2006-10-04 |
| Street Address |
375 EAST CENTER STREET |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553233 | Anylen Ruiz Ayala | Nurse Practitioner | 109 W Center St, Manchester, CT 06040-4917 | 2020-09-16 |
| 1497368146 | Sarah Kuzara | Nurse Practitioner | 1069 Big Bend Crossing Dr, Manchester, MO 63088-1296 | 2020-08-24 |
| 1265068910 | Katelyn Denise Walker | Nurse Practitioner | 306 Boone Dr, Manchester, TN 37355-7820 | 2020-03-13 |
| 1780219659 | Ashlynn Fogg | Nurse Practitioner | 1750 Elm St Ste 201a, Manchester, NH 03104-2903 | 2020-03-11 |
| 1922669357 | Heather Rogers Hansen | Nurse Practitioner | 1279 S Willow St Ste E, Manchester, NH 03103-4015 | 2019-06-26 |
| 1619433802 | Samantha Ashley Case | Nurse Practitioner | 635 Clay St Fl 1, Manchester, NH 03103-4507 | 2019-02-13 |
| 1538640420 | Isaac Okyere Ampofo | Nurse Practitioner | 629 Middle Turnpike East, Manchester, CT 06040-3571 | 2018-08-28 |
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1952817371 | Rodrick Emmanuel Thomas | Nurse Practitioner | 553 S Commercial St Apt 309, Manchester, NH 03101-2749 | 2017-12-20 |
| 1063950160 | Kacy Mikala Kirk | Nurse Practitioner | 183 Roberts Creek Cir, Manchester, TN 37355-3690 | 2017-02-08 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on KAREN D 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.