DR. CRYSTA JEAN SULLIVAN (NPI# 1922606177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922606177 |
| Entity Type | Individual |
| Full Name | DR. CRYSTA JEAN SULLIVAN |
| Credential | DNP, FNP-C |
| Practice Address |
2401 Greenway Dr Gillette WY 82716-2333 |
| Practice Telephone | 3072991284 |
| Mailing Telephone | 3072991284 |
| Enumeration Date | 2020-10-10 |
| Last Update Date | 2020-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
46499 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2401 GREENWAY DR |
| City | GILLETTE |
| State | WY |
| Zip Code | 82716-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
| 1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
| 1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
| 1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
| 1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
| 1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
| 1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
| 1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
| Find all providers in zip 82716 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013309590 | Brenna Kirsch | Nurse Practitioner | 1402 W 4th St, Gillette, WY 82716-3328 | 2015-02-20 |
| 1326464108 | Julie Centner | Nurse Practitioner | 600 W Boxelder Rd, Gillette, WY 82718-5219 | 2014-03-17 |
| 1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
| 1417569732 | Nikole Marie Lawrence | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2020-08-18 |
| 1528612207 | Aoc Medical LLC | Nurse Practitioner | 201 W Lakeway Rd Ste 200, Gillette, WY 82718-6341 | 2019-07-30 |
| 1902370778 | Candi Hallermann | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2019-01-15 |
| 1669972238 | Lori Ann Mcinerney | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2018-02-20 |
| 1104345404 | Amy Elizabeth Hawk | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2017-09-18 |
| 1235656489 | Anne Marie Jones | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2017-08-28 |
| 1609398015 | Whitney Renee Shawver | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2017-07-07 |
| Find all providers in GILLETTE | ||||
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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.