KELLY A MASSUCCI (NPI# 1013976703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013976703 |
| Entity Type | Individual |
| Full Name | KELLY A MASSUCCI |
| Credential | M.ED. OTR/L |
| Practice Address |
270 Farmington Ave Suite 126 Farmington CT 06032-1909 |
| Mailing Address |
111 Foxcroft Rd West Hartford CT 06119-1018 |
| Practice Telephone | 8606741824 |
| Mailing Telephone | 8605238677 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 002268 | CT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 00424493500 | 05 | |
| CT | AETNA | 3623042 | 01 |
| Street Address |
270 FARMINGTON AVE SUITE 126 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609854694 | Brian N Lewton | Specialist/Technologist | 270 Farmington Ave, Suite 174, Farmington, CT 06032-1909 | 2006-01-09 |
| 1700404167 | Jemilat Joy Azeez | Nurse Practitioner | 270 Farmington Ave, Farmington, CT 06032-1909 | 2020-07-10 |
| 1992335616 | Amanda Begin | Counselor | 270 Farmington Ave, Farmington, CT 06032-1909 | 2020-01-22 |
| 1508415928 | Sam Ol Ith | Pharmacist | 270 Farmington Ave, Farmington, CT 06032-1909 | 2019-09-09 |
| 1891235198 | Angela Hay | Social Worker | 270 Farmington Ave, Suite 309, Farmington, CT 06032-1909 | 2017-03-06 |
| 1881138568 | Julia Hamilton | Social Worker | 270 Farmington Ave, Suite 309, Farmington, CT 06032-1909 | 2016-12-14 |
| 1790237402 | Helen Polewoj | Social Worker | 270 Farmington Ave, Suite 309, Farmington, CT 06032-1909 | 2016-10-28 |
| 1922550771 | D Craig Newton | Social Worker | 270 Farmington Ave, Suite 309, Farmington, CT 06032-1909 | 2016-10-27 |
| 1023565926 | Nancy Bertulis | Social Worker | 270 Farmington Ave, #309, Farmington, CT 06032-1909 | 2016-09-08 |
| 1225583420 | The Cataract Vision Institute LLC | Clinic/Center | 270 Farmington Ave, Suite 172, Farmington, CT 06032-1909 | 2016-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1770144958 | Dominique Feterman Jimenez | Student in an Organized Health Care Education/Training Program | Internal Medicine Associates Outpatient Pavilion 2 West, 263 Farmington Avenue, Farmington, CT 06032 | 2019-06-27 |
| 1033770698 | Tiffany Otto | Nurse Practitioner | 27o Farmington Avenue, # 309, Farmington, CT 06032 | 2019-06-25 |
| 1124683941 | Aleksandra M Sliwinska | Student in an Organized Health Care Education/Training Program | Uconn Health Im Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1922663889 | Sean Ag Harford | Student in an Organized Health Care Education/Training Program | Uconn Health - Internal Medicine Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1710450507 | Kathy Jean Campbell | Occupational Therapist | 10 Birdseye Rd, Farmington, CT 06032 | 2019-01-04 |
| 1790273373 | Cameron Seymour | Dentist | 291 Farmington Ave Ste 5, Farmington, CT 06032 | 2018-04-29 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1588160998 | Sight Sensory Rehabilitation Center, Pllc | Optometrist | 10 Birdseye Road, Farmington, CT 06032 | 2018-04-04 |
| Find all providers in zip 06032 | ||||
| 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 |
|---|---|---|---|---|
| 1982248902 | Tracy Cook | Specialist | 1533 New Britain Ave Ste 2, Farmington, CT 06032-3378 | 2019-11-02 |
| 1144779836 | Brittany Parker | Specialist | 2205 Ridgecrest Dr, Farmington, NM 87401-3405 | 2016-09-23 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1275956203 | Therese Marie Millis | Specialist | 4600 Rio St, Farmington, NM 87402-4904 | 2014-01-27 |
| 1306100094 | Sarah Kalen | Specialist | 1517 Emma Ln, Farmington, NY 14425-9045 | 2012-06-27 |
| 1578837886 | Tom Burcham | Specialist | 1513 W Columbia St, Farmington, MO 63640-3512 | 2012-03-05 |
| 1306110838 | Stacey L Potter | Specialist | 313 N Monterey Ave, Farmington, NM 87401-6957 | 2012-03-01 |
| 1467720300 | Stettler Medical Monitoring, Lcc | Specialist | 1527 Comptons Pt, Farmington, UT 84025-3942 | 2011-12-07 |
| 1164734331 | Curtis J Tillman Jr. | Specialist | 36818 Brittany Hill Dr, Farmington, MI 48335-2908 | 2010-07-05 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06032 |
Please comment or provide details below to improve the information on KELLY A MASSUCCI.
| 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.