MRS. LISA SULLIVAN (NPI# 1922081199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922081199 |
| Entity Type | Individual |
| Full Name | MRS. LISA SULLIVAN |
| Credential | N.P. |
| Practice Address |
110 Business Park Dr Utica NY 13502-6302 |
| Practice Telephone | 3156247000 |
| Practice Fax Number | 3157355226 |
| Mailing Telephone | 3156247000 |
| Mailing Fax Number | 3157355226 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2010-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F301118-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285282459 | Lisa Sullivan | Behavior Technician | 719 N Hillview Dr, Boise, ID 83712-8122 | 2019-08-29 |
| 1184183550 | Lisa Sullivan | Contractor | 113 Constitution Ct Apt A, Albany, GA 31721-2150 | 2019-03-15 |
| 1366875197 | Lisa Sullivan | Counselor | 3740 Colony Dr Ste 260, San Antonio, TX 78230-2233 | 2013-08-15 |
| 1336486414 | Lisa Marie Sullivan | Social Worker | 18 Rose Pl, Selden, NY 11784-3122 | 2013-01-10 |
| 1144579418 | Lisa Sullivan | Specialist | 252 California Ct, Mission Viejo, CA 92692-4098 | 2012-09-02 |
| 1811205750 | Lisa Renee Sullivan | Physician Assistant | 44305 Harmony Ln, Belleville, MI 48111-2449 | 2010-09-14 |
| 1700014065 | Lisa Hadeler Sullivan | Physical Therapist | 1420 Hwy 36, Hazlet, NJ 07730-1736 | 2009-06-25 |
| 1083874127 | Lisa Meghan Sullivan | Massage Therapist | 1640 Selby Ave Apt 6, Saint Paul, MN 55104-7379 | 2008-06-12 |
| 1841380375 | Lisa C. Sullivan | Pediatrics | 4950 Se Roethe Rd, Milwaukie, OR 97267-5746 | 2006-10-13 |
| 1386650273 | Lisa Marie Sullivan | Allergy & Immunology | 737 Saint Johns Ave, Highland Park, IL 60035-4650 | 2006-07-31 |
| Street Address |
110 BUSINESS PARK DR |
| City | UTICA |
| State | NY |
| Zip Code | 13502-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508856675 | Elaine Marie Trevisani | Nurse Practitioner | 110 Business Park Dr, Utica, NY 13502-6302 | 2005-10-28 |
| 1730596636 | Audrieanna Elease Raciti | Nurse Practitioner | 110 Business Park Dr, Utica, NY 13502-6302 | 2014-07-13 |
| 1962485128 | Steven Kussin | Internal Medicine | 110 Business Park Dr, Utica, NY 13502-6302 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265077101 | Brittany Ross | Nurse Practitioner | 930 State Route 140 E, Utica, KY 42376-9003 | 2019-11-14 |
| 1982266763 | Amanda L Mccabe | Nurse Practitioner | 1676 Sunset Ave Fl 4, Utica, NY 13502-5416 | 2019-07-02 |
| 1902381411 | Alisha C Holloway | Nurse Practitioner | 11689 Squiers Blvd, Utica, MI 48315-5936 | 2018-10-01 |
| 1821311069 | Ann Marie Markey | Nurse Practitioner | 2535 Genesee Street, Utica, NY 13501 | 2010-03-02 |
| 1801094693 | Bonnie Sue Page Williams | Nurse Practitioner | 5917 Morris Road, Glen and Jeanine Steuner, Utica, NY 13502 | 2007-07-03 |
| 1669568317 | Natalya Akhtyrsky | Nurse Practitioner | 1676 Sunset Ave., Utica, NY 13502 | 2006-10-04 |
| 1790776268 | Diane M Scalise | Nurse Practitioner | 1450 Champlin Ave, Utica, NY 13502-3662 | 2005-11-02 |
| 1992793137 | Karen C Flick | Nurse Practitioner | 1213 Court St, Utica, NY 13502-3803 | 2005-10-12 |
| 1194368936 | Patricia Flihan | Nurse Practitioner | 1904 Genesee St, Utica, NY 13502-5646 | 2019-10-24 |
| 1083275564 | Kayla Lynn Miller | Nurse Practitioner | 1256 Culver Ave, Utica, NY 13501-4253 | 2019-06-25 |
| Find all providers in UTICA | ||||
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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.