MISS SHANNON G SCAROLA (NPI# 1003121336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003121336 |
Entity Type | Individual |
Full Name | MISS SHANNON G SCAROLA |
Credential | DPT |
Practice Address |
145 Hazard Ave Suite B Enfield CT 06082-4521 |
Practice Telephone | 8602652571 |
Practice Fax Number | 8602652574 |
Mailing Telephone | 8602652571 |
Mailing Fax Number | 2602652574 |
Enumeration Date | 2010-08-11 |
Last Update Date | 2010-08-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 008876 | CT | Other Service Providers |
Street Address |
145 HAZARD AVE SUITE B |
City | ENFIELD |
State | CT |
Zip Code | 06082-4521 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346281565 | Michelle Quirk | Specialist | 145 Hazard Ave, Suite B, Enfield, CT 06082-4521 | 2006-06-09 |
1518503317 | Anna Leblanc | Physical Therapist | 145 Hazard Ave, Enfield, CT 06082-4521 | 2019-11-27 |
1053839126 | Adam Nathaniel Majka | Physical Therapist | 145 Hazard Ave, Enfield, CT 06082-4521 | 2017-09-08 |
1689032930 | Amy Clark | Physical Therapist | 145 Hazard Ave, Enfield, CT 06082-4521 | 2016-02-02 |
1871984070 | Matthew Reynolds | Physical Therapist | 145 Hazard Ave, Enfield, CT 06082-4521 | 2015-02-10 |
1346664257 | Andrew J Neumeister | Physical Therapist | 145 Hazard Ave, Suite B, Enfield, CT 06082-4521 | 2014-02-12 |
1164855565 | Kelly E Murray | Physical Therapist | 145 Hazard Ave, Suite B, Enfield, CT 06082-4521 | 2013-08-21 |
1215222492 | Shellane N Shattuck | Physical Therapist | 145 Hazard Ave, Suite B, Enfield, CT 06082-4521 | 2011-06-15 |
1225344021 | Michael Millett | Physical Therapist | 145 Hazard Ave, Enfield, CT 06082-4521 | 2010-08-31 |
1700199619 | Keelin Godsey | Specialist | 145 Hazard Ave, Suite B, Enfield, CT 06082-4521 | 2010-07-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
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Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659655686 | Northern Connecticut Endocrinology and Wellness Center PC | Specialist | 140 Hazard Ave Ste 102, Enfield, CT 06082-4520 | 2011-10-10 |
1669680278 | Dennis Morgan Md | Specialist | 142 Hazard Avenue, Enfield, CT 06082-4520 | 2007-05-18 |
1346281565 | Michelle Quirk | Specialist | 145 Hazard Ave, Suite B, Enfield, CT 06082-4521 | 2006-06-09 |
1821421942 | Np Skincare | Specialist | 113 Elm St, Suite 304, Enfield, CT 06082-3700 | 2013-08-12 |
1194033977 | Edward H Benjamin Md PC | Specialist | 115 Elm St, Suite 205, Enfield, CT 06082-3712 | 2010-09-15 |
1700199619 | Keelin Godsey | Specialist | 145 Hazard Ave, Suite B, Enfield, CT 06082-4521 | 2010-07-20 |
1497925283 | Stefanie Bourassa | Specialist | 145 Hazard Ave, Suite B, Enfield, CT 06082-4521 | 2008-03-07 |
1144254475 | Christianna Keough | Specialist | 145 Hazard Ave, Suite B, Enfield, CT 06082-4521 | 2006-07-11 |
1730133232 | Abdul Hami Khaliq | Specialist | 146 Hazard Ave, Enfield, CT 06082-4571 | 2006-05-19 |
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1386261212 | Diana Louise Botticelli | Specialist | 5 Jackson Pl, Darien, CT 06820-2725 | 2020-06-26 |
1205465382 | Center for Vascular Medicine Ct, Pllc | Specialist | 136 Berlin Rd Ste 202, Cromwell, CT 06416-2622 | 2020-04-02 |
1679103931 | Gail Joan Dalby | Specialist | 1360 Whitney Ave, Hamden, CT 06517-2400 | 2020-01-24 |
1982248902 | Tracy Cook | Specialist | 1533 New Britain Ave Ste 2, Farmington, CT 06032-3378 | 2019-11-02 |
1477106482 | Elevate Pt- Stamford Pllc | Specialist | 1234 Summer St Ste 102, Stamford, CT 06905-5558 | 2019-07-18 |
1598238321 | Amanda Andrade | Specialist | 40 Whippoorwill Rd, Bethel, CT 06801-2723 | 2019-01-03 |
1366921827 | Matt Dutton | Specialist | 1 Highpoint Ct, Woodbury, CT 06798-3228 | 2018-08-07 |
1013422591 | Connecticut Orthopaedic Specialists, PC | Specialist | 2499 Main St Ste 6, Stratford, CT 06615-5843 | 2017-12-06 |
1114430782 | Elevate Professional Services, LLC | Specialist | 19 Old Kings Hwy S Ste 120, Darien, CT 06820-4532 | 2017-11-06 |
1417476052 | Lauri Weil | Specialist | 104 Old Washington Rd, Ridgefield, CT 06877-5918 | 2017-09-14 |
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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.