AMANDA SULLIVAN (NPI# 1922439884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922439884 |
| Entity Type | Individual |
| Full Name | AMANDA SULLIVAN |
| Practice Address |
4865 Market St Philadelphia PA 19139-2912 |
| Mailing Address |
4865 Market St Philadelphia PA 19139-3508 |
| Practice Telephone | 2674259841 |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2014-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP012810 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275878183 | Amanda J Sullivan | Physical Therapy Assistant | 71 Millard Rd, North Attleboro, MA 02760-4407 | 2012-12-04 |
| 1912291436 | Amanda Sullivan | Licensed Practical Nurse | 364 Lake Marie Rd, Liberty, NY 12754-2924 | 2011-06-01 |
| 1750613576 | Amanda K Sullivan | Speech-Language Pathologist | 9307 N 3rd Dr, Phoenix, AZ 85021-3555 | 2010-02-03 |
| 1447483458 | Amanda L Sullivan | Counselor | 770 N Cotner Blvd Ste 330, Lincoln, NE 68505-2377 | 2009-08-25 |
| 1447208491 | Amanda Clare Sullivan | Acupuncturist | 5 Bon Air Rd Ste 109, Larkspur, CA 94939-1137 | 2006-05-04 |
| 1730141151 | Amanda Leigh Sullivan | Specialist/Technologist | 8229 Clayton Rd, Suite 204, Saint Louis, MO 63117-1155 | 2006-04-03 |
| 1093349672 | Amanda Sullivan | Case Manager/Care Coordinator | 1000 Eddy St, Providence, RI 02905-4739 | 2020-02-24 |
| 1851941280 | Amanda Sullivan | Counselor | 74 East St, Plainville, CT 06062-2367 | 2019-09-17 |
| 1033766415 | Amanda Anne Sullivan | Pharmacist | 801 E Sunset Dr, Waukesha, WI 53189-7816 | 2019-08-21 |
| 1386207462 | Amanda Sullivan | Occupational Therapist | 6811 Campfield Rd, Baltimore, MD 21207-4657 | 2019-04-15 |
| Street Address |
4865 MARKET ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895727 | Mary B. Kawan | Pediatrics | 4865 Market St, Philadelphia, PA 19139-3508 | 2005-07-21 |
| 1467084673 | Constance Joy Bienkowski | Counselor | 4865 Market St, Philadelphia, PA 19139-3508 | 2020-02-05 |
| 1053941708 | Hannah Brown | Counselor | 4865 Market St, Philadelphia, PA 19139-3508 | 2020-01-22 |
| 1316595069 | Caitlin Park-davidson | Counselor | 4865 Market St, Philadelphia, PA 19139-3508 | 2019-08-27 |
| 1578128229 | Carmelita Sharonique Foster | Psychologist | 4865 Market St, Philadelphia, PA 19139-3508 | 2019-05-08 |
| 1467921718 | Jessica Rose Clymer | Nurse Practitioner | 4865 Market St, Philadelphia, PA 19139-3508 | 2018-11-15 |
| 1083194914 | Caroline Cuckler Shane | Nurse Practitioner | 4865 Market St, Philadelphia, PA 19139-3508 | 2018-08-20 |
| 1225541691 | Evelyn Brooks Ridgeway | Psychologist | 4865 Market St, Philadelphia, PA 19139-3508 | 2017-11-08 |
| 1194235192 | Kelly Marie Hopton-jones | Nurse Practitioner | 4865 Market St, Philadelphia, PA 19139-3508 | 2017-10-04 |
| 1679980528 | The Children's Hospital of Philadlephia | Clinic/Center | 4865 Market St, Philadelphia, PA 19139-3508 | 2014-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in zip 19139 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454051 | Violet Anderson | Nurse Practitioner | 2338 S Broad St, Philadelphia, PA 19145-4450 | 2020-10-15 |
| 1568078582 | Lynell Wiggins | Nurse Practitioner | 1605 N 77th St, Philadelphia, PA 19151-2711 | 2020-09-16 |
| 1508479668 | Frances Laura Israel | Nurse Practitioner | 1913 Lansing St, Philadelphia, PA 19111-3505 | 2020-08-28 |
| 1063024529 | April Lee Fligor | Nurse Practitioner | 148 Osborn St, Philadelphia, PA 19128-3709 | 2020-08-17 |
| 1861010597 | Brooke Brady Bell | Nurse Practitioner | 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 | 2020-07-09 |
| 1780208090 | Kimberly Mae Behney | Nurse Practitioner | 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 | 2020-06-02 |
| 1811525819 | Jacqueline Baker | Nurse Practitioner | 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 | 2020-03-27 |
| 1720612914 | Zakiyyah Muhsin-fall | Nurse Practitioner | 499 N 5th St Ste A, Philadelphia, PA 19123-4005 | 2020-02-26 |
| 1386276152 | Mercedes Harley | Nurse Practitioner | 4151 Robbins Ave, Philadelphia, PA 19135-3021 | 2020-02-10 |
| 1467083063 | Tara Lynne Weaver | Nurse Practitioner | 800 Walnut St Fl 18, Philadelphia, PA 19107-5176 | 2020-02-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19139 |
Please comment or provide details below to improve the information on AMANDA 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.