NPIMap

Organization Active NPI

Maureen M. Sullivan, P.a.

  • Chiropractor
  • Tequesta, FL
National Provider Identifier
1194031179
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5543 Issued in FL
Legal business name
MAUREEN M. SULLIVAN, P.A.
Practice address
390 Tequesta Dr
Suite G
Tequesta, FL 33469-3085
Phone
(561) 743-8797
Fax
(561) 743-9290
NPI assigned
Aug 27, 2010
Last updated
Sep 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maureen Michele Sullivan, D.C.NPI 1871768226
Title
President
Phone
(561) 743-8797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH5543 FL Primary

Addresses

Primary practice location

390 Tequesta Dr
Suite G
Tequesta, FL 33469-3085

Mailing address

390 Tequesta Dr
Suite G
Tequesta, FL 33469-3085
Phone (561) 743-8797

National Provider Directory

National Provider Directory

Locations

390 Tequesta Dr
Ste G
Tequesta, FL 33469
Phone (561) 743-8797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1194031179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 TEQUESTA DR",
            "address_2": "SUITE G",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334693085",
            "telephone_number": "561-743-8797",
            "fax_number": "561-743-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 TEQUESTA DR",
            "address_2": "SUITE G",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334693085",
            "telephone_number": "561-743-8797",
            "fax_number": "561-743-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN M. SULLIVAN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-743-8797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tequesta, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.