KATHLEEN M PACHECO (NPI# 1003042623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003042623 |
| Entity Type | Individual |
| Full Name | KATHLEEN M PACHECO |
| Credential | RN, CDE |
| Practice Address |
365 Montauk Ave New London CT 06320-4700 |
| Practice Telephone | 8604444737 |
| Practice Fax Number | 8604444775 |
| Mailing Telephone | 8604444737 |
| Mailing Fax Number | 8604444775 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2010-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
R53439 | CT | Nursing Service Providers |
| Street Address |
365 MONTAUK AVE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460186 | Steven Lu | Internal Medicine | 365 Montauk Ave, Rm 4.512, New London, CT 06320-4700 | 2005-07-08 |
| 1407471246 | Lawrence and Memorial Hospital, Inc. | Internal Medicine | 365 Montauk Ave, New London, CT 06320-4700 | 2020-06-08 |
| 1952954117 | Veronica O Lee | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-07-17 |
| 1265084487 | Lydia Derienzo | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-07-09 |
| 1184283699 | Theresa Joan Crino | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-08 |
| 1437718137 | Linda Anderson | Pharmacist | 365 Montauk Ave, New London, CT 06320-4769 | 2019-06-07 |
| 1265091813 | Stephen Richard Cofone | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-07 |
| 1841859683 | Thomas David Page | Pharmacist | 365 Montauk Ave, New London, CT 06320-4769 | 2019-06-06 |
| 1942869706 | William Edward Sergiy IIi | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-06 |
| 1578122263 | Mary Stevens | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497156855 | Gretchen Edstrom | Registered Nurse | 194 Howard St, New London, CT 06320-5544 | 2014-09-04 |
| 1083843320 | Lisa M Gilmore | Registered Nurse | 365 Montauk Ave, New London, CT 06320-4700 | 2009-07-08 |
| 1417183302 | Janice F. Amato | Registered Nurse | 365 Montauk Ave, New London, CT 06320-4700 | 2009-06-05 |
| 1669608683 | Judith L Swift | Registered Nurse | 365 Montauk Ave, New London, CT 06320-4700 | 2009-06-04 |
| 1215163233 | Carol G Patterson | Registered Nurse | 365 Montauk Ave, New London, CT 06320-4700 | 2009-06-04 |
| 1861627580 | Patricia M. Pugsley | Registered Nurse | 365 Montauk Ave, New London, CT 06320-4700 | 2009-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619941770 | Patricia H Casey | Registered Nurse | 115 Waterbury Rd, Suite 1, Prospect, CT 06712-1254 | 2006-02-15 |
| 1891291217 | Melissa Cowen | Registered Nurse | 71 Haynes Street, Dsmp, 2nd Floor, Manchester, CT 06040 | 2018-04-04 |
| 1528502697 | Georgina Dulak | Registered Nurse | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2016-12-08 |
| 1831553726 | Paul Furino Aprn LLC | Registered Nurse | 3017 Main St, Stratford, CT 06614-4977 | 2016-04-07 |
| 1184050072 | Pamela J Howell | Registered Nurse | 45 Green Hollow Rd, Danielson, CT 06239-3509 | 2013-09-24 |
| 1447488960 | Diane S. Demain | Registered Nurse | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2009-06-23 |
| 1821025180 | Barbara M Nadolny | Registered Nurse | 24 Stevens St, Norwalk, CT 06850-3852 | 2006-06-26 |
| 1710923719 | Emily Keane-layman | Registered Nurse | 46 Prince St, New Haven, CT 06519-1600 | 2006-06-20 |
| City | NEW LONDON |
| Zip Code | 06320 |
Please comment or provide details below to improve the information on KATHLEEN M PACHECO.
| 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.