KYLE ROBERT SULLIVAN (NPI# 1982905105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982905105 |
| Entity Type | Individual |
| Full Name | KYLE ROBERT SULLIVAN |
| Practice Address |
2635 W Deschutes Ave Kennewick WA 99336-3004 |
| Mailing Address |
4703 Shoreline Ct Pasco WA 99301-9091 |
| Practice Telephone | 5097830500 |
| Mailing Telephone | 5095454312 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
WA | Behavioral Health & Social Service Providers | |
| N | 172V00000X | Community Health Worker | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444342 | Kyle Sullivan | Physician Assistant | 103 Progress Dr Ste 300, Doylestown, PA 18901-2511 | 2019-12-17 |
| 1952964033 | Kyle Sullivan | Student in an Organized Health Care Education/Training Program | 8300 Floyd Curl Dr, San Antonio, TX 78229-3931 | 2019-04-15 |
| 1962862474 | Kyle David Sullivan | Pharmacist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2016-02-25 |
| 1255759502 | Kyle Sullivan | Physical Therapist | 1433 E Twelve Mile Road, Madison Heights, MI 48071 | 2014-04-03 |
| 1083035877 | Kyle Sullivan | Specialist/Technologist, Other | 720 Florsheim Dr, Libertyville, IL 60048-3757 | 2013-12-20 |
| 1669661641 | Kyle Patrick Sullivan | Orthotist | 4479 Stoneridge Dr, Suite A, Pleasanton, CA 94588-8448 | 2007-10-16 |
| 1962558106 | Kyle Sullivan | Dentist | 121 W Poplar St, Ste A, Walla Walla, WA 99362-2871 | 2007-01-27 |
| Street Address |
2635 W DESCHUTES AVE |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99336-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124108584 | Benton & Franklin Counties Crisis Response Unit | Clinic/Center | 2635 W Deschutes Ave, Kennewick, WA 99336-3004 | 2006-10-17 |
| 1598038473 | Cristina Nadine Maldonado | Counselor | 2635 W Deschutes Ave, Kennewick, WA 99336-3004 | 2012-02-22 |
| 1780988279 | Gloria Caldwell | Counselor | 2635 W Deschutes Ave, Kennewick, WA 99336-3004 | 2010-12-27 |
| 1346540325 | Anthony Lynn Larsen | Counselor | 2635 W Deschutes Ave, Kennewick, WA 99336-3004 | 2010-10-25 |
| 1679701783 | Randi Lynn Hankins | Counselor | 2635 W Deschutes Ave, Kennewick, WA 99336-3004 | 2009-06-26 |
| 1255568911 | Benton Franklin County Crisis Response Unit | Community/Behavioral Health | 2635 W Deschutes Ave, Kennewick, WA 99336-3004 | 2009-06-19 |
| 1396971032 | Benton Franklin Crisis Response Unit | Community/Behavioral Health | 2635 W Deschutes Ave, Kennewick, WA 99336-3004 | 2009-06-09 |
| 1811123631 | Benton/franklin County Crisis Response Unit | Community/Behavioral Health | 2635 W Deschutes Ave, Kennewick, WA 99336-3004 | 2009-06-08 |
| 1174759914 | Benton-franklin Counties-crisis Reponse Unit | Community/Behavioral Health | 2635 W Deschutes Ave, Kennewick, WA 99336-3004 | 2009-06-08 |
| 1992931760 | James C. Laws | Community Health Worker | 2635 W Deschutes Ave, Kennewick, WA 99336-3004 | 2009-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
| 1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
| 1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
| 1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
| 1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
| 1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
| 1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
| 1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
| Find all providers in zip 99336 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193304 | Yesica Rosas | Counselor | 8927 W Tucannon Ave Ste 107, Kennewick, WA 99336-7176 | 2020-04-22 |
| 1669019899 | Lydia Nicole Bowerly | Counselor | 8905 W Gage Blvd Ste 208, Kennewick, WA 99336-7191 | 2019-12-06 |
| 1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
| 1487148680 | Tri-cities Regenerative Institute | Counselor | 8905 W Gage Blvd Ste 100, Kennewick, WA 99336-7191 | 2018-06-20 |
| 1124531488 | Ashleigh Mae Zoerb | Counselor | 4906 W 4th Ave, Kennewick, WA 99336-4168 | 2017-11-08 |
| 1881121267 | Valerie F Kirk | Counselor | 3801 S Zintel Way Ste A120, Kennewick, WA 99337-5097 | 2017-05-17 |
| 1750820122 | Luis Madrigal | Counselor | 2628 W Bruneau Pl Ste 110, Kennewick, WA 99336-3134 | 2017-02-18 |
| 1912444308 | Cassandra Mendez | Counselor | 2112 S Rainier St Apt 130, Kennewick, WA 99337-3635 | 2017-01-24 |
| 1871037994 | Timothy Mc Kee Dolph | Counselor | 500 N. Morain St. Ste. 1250, Kennewick, WA 99336 | 2016-12-08 |
| 1902254139 | Robert Bishop | Counselor | 1203 W 21st Ave, Kennewick, WA 99337-4216 | 2016-05-27 |
| Find all providers in KENNEWICK | ||||
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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.