THERESA ROSE MANOLITSIS (NPI# 1013439488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013439488 |
| Entity Type | Individual |
| Full Name | THERESA ROSE MANOLITSIS |
| Practice Address |
170 Pondview Lane Bristol CT 06010 |
| Mailing Address |
170 Pondview Ln Bristol CT 06010-3085 |
| Practice Telephone | 8604902283 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM BLUE CROSS/BLUE SHIELD | XGC0246M50200 | 01 |
| Street Address |
170 PONDVIEW LANE |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| 1518225184 | Sara Marie Tye | Speech-Language Pathologist | 145 Fox Den Rd, Bristol, CT 06010 | 2012-05-02 |
| Find all providers in zip 06010 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093344301 | Matthew Rodziewicz | Student in an Organized Health Care Education/Training Program | 118 Cherry Hill Dr, Bristol, CT 06010-2573 | 2020-04-07 |
| 1801354089 | Haley Ferreira | Student in an Organized Health Care Education/Training Program | 41 Basswood Dr, Bristol, RI 02809-4911 | 2019-03-07 |
| 1932676244 | Lydia Rose Moran | Student in an Organized Health Care Education/Training Program | 43 Dewolf Ave, Bristol, RI 02809-3500 | 2018-10-25 |
| 1245724038 | Yin Chi | Student in an Organized Health Care Education/Training Program | 500 Bath Rd, Bristol, PA 19007-3105 | 2018-06-15 |
| 1619419520 | Courtney Wolf | Student in an Organized Health Care Education/Training Program | 35 Payton Ter, Bristol, CT 06010-9433 | 2016-11-09 |
| 1225423627 | Ijeoma Okeke | Student in an Organized Health Care Education/Training Program | 501 Bath Rd Dept Family, Bristol, PA 19007-3101 | 2015-04-02 |
| 1710596747 | David Ernst | Student in an Organized Health Care Education/Training Program | 225 N Main St, Bristol, CT 06010-4926 | 2020-07-27 |
| 1366068371 | Samantha D'souza | Student in an Organized Health Care Education/Training Program | 501 Bath Rd, Bristol, PA 19007-3101 | 2020-06-25 |
| 1558987552 | Kulin M Patel | Student in an Organized Health Care Education/Training Program | 501 Bath Rd, Bristol, PA 19007-3190 | 2020-06-25 |
| 1013533017 | Darshini Shah | Student in an Organized Health Care Education/Training Program | 501 Bath Rd, Bristol, PA 19007-3190 | 2020-06-25 |
| Find all providers in BRISTOL | ||||
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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.