CRYSTAL NOEL SULLIVAN (NPI# 1972815447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972815447 |
| Entity Type | Individual |
| Full Name | CRYSTAL NOEL SULLIVAN |
| Credential | LAC |
| Practice Address |
1015 S Broadway Suite 18 Minot ND 58701-4667 |
| Practice Telephone | 7018578500 |
| Practice Fax Number | 7018578555 |
| Mailing Telephone | 7018578500 |
| Mailing Fax Number | 7018578555 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2015-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1765 | ND | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1295 | MT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326507559 | Crystal Lynn Sullivan | Licensed Practical Nurse | 1446 Nw Catawba Rd, Port Clinton, OH 43452-2820 | 2019-03-18 |
| 1033752530 | Crystal Jean Sullivan | Nurse Practitioner | 2500 Fairway St, Dickinson, ND 58601-2639 | 2019-10-28 |
| 1417494121 | Crystal Sullivan | Assistant Behavior Analyst | 5410 Transportation Blvd, Garfield Hts, OH 44125-5380 | 2017-01-20 |
| 1477864502 | Crystal Sullivan | Family Medicine | 3400 W Truman Blvd, Jefferson City, MO 65109-5712 | 2010-06-23 |
| 1124256771 | Crystal F Sullivan | Physician Assistant | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2009-06-22 |
| 1922132893 | Crystal Ladawn Sullivan | Case Manager/Care Coordinator | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2007-03-15 |
| Street Address |
1015 S BROADWAY SUITE 18 |
| City | MINOT |
| State | ND |
| Zip Code | 58701-4667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548200892 | Tim Scott Carlson | Pharmacist | 1015 S Broadway, Ste. #3, Minot, ND 58701-4667 | 2006-06-07 |
| 1831748151 | Elizabeth Ann Vibeto | Registered Nurse | 1015 S Broadway, Minot, ND 58701-4667 | 2019-09-09 |
| 1538693973 | Morgan Bright | Case Manager/Care Coordinator | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2017-04-12 |
| 1932631280 | Ness Family Dentistry, LLC | Clinic/Center | 1015 S Broadway, Suite 20, Minot, ND 58701-4667 | 2017-03-28 |
| 1679004899 | Onyinye Okoye-epundu | Registered Nurse | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2017-03-21 |
| 1508301292 | Stacey Jackson | Registered Nurse | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2017-01-04 |
| 1568906949 | Kimberly Luster | Registered Nurse | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2016-12-05 |
| 1992248819 | Emmanuel Toquee | Case Manager/Care Coordinator | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2016-11-25 |
| 1366992661 | Shari Pister | Case Manager/Care Coordinator | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2016-10-11 |
| 1770032112 | Janelle Mellor | Case Manager/Care Coordinator | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2016-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
| 1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
| 1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
| Find all providers in zip 58701 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235053 | Teal Nelson | Counselor | 515 19th Ave Se, Minot, ND 58701-6634 | 2020-08-13 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1740814045 | Lisa Marie Voeller | Counselor | 1905 2nd St Se Ste 18, Minot, ND 58701-6566 | 2020-02-25 |
| 1194358366 | Robert M Hayes | Counselor | 7 3rd St Se Ste 109, Minot, ND 58701-3916 | 2020-02-17 |
| 1659926681 | Faa Addiction Services | Counselor | 900 N Broadway Ste 111, Minot, ND 58703-2378 | 2019-08-06 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1356792816 | Community Medical Services Montana-private, LLC | Counselor | 300 30th Ave Nw Ste D, Minot, ND 58703-0611 | 2016-06-27 |
| 1851653430 | Amber Ann Twogood | Counselor | 1015 South Broadway Suite 18, Minot, ND 58701-4667 | 2012-06-11 |
| 1568577617 | Teri E Lendzion | Counselor | 400 22nd Ave Nw, Minot, ND 58703-1031 | 2006-08-20 |
| 1679504575 | Vicki A Jones | Counselor | 1809 S Broadway Ste S, Minot, ND 58701-6567 | 2006-07-06 |
| Find all providers in MINOT | ||||
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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.