IVETTE BECERRA ORTIZ (NPI# 1033224670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033224670 |
| Entity Type | Individual |
| Full Name | IVETTE BECERRA ORTIZ |
| Credential | APRN |
| Practice Address |
374 Grand Avenue Fair Haven Community Health Ctr New Haven CT 06513 |
| Mailing Address |
275 Wolcott Hill Road Weathersfield CT 06109-2033 |
| Practice Telephone | 2037777411 |
| Practice Fax Number | 2037778506 |
| Mailing Telephone | 8604364126 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
002875 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTHCARE | 0000221420102 | 01 | |
| WELLCARE | 330281 | 01 | |
| OXFORD | P3598502 | 01 |
| Street Address |
374 GRAND AVENUE FAIR HAVEN COMMUNITY HEALTH CTR |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497260798 | Elsie Eusebid Eszterhai | Dental Hygienist | 374 Grand Avenue, New Haven, CT 06513 | 2017-12-08 |
| 1043303258 | Ellen J Wormser | Advanced Practice Midwife | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-10-02 |
| 1376647420 | Ruth J Magraw | Pediatrics | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-09-11 |
| 1285738336 | Kathleen M Mitcheom | Advanced Practice Midwife | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-09-11 |
| 1093819146 | Elizabeth Magenheimer | Nurse Practitioner | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-09-11 |
| 1902900053 | Clarice Begemann | Nurse Practitioner | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366906141 | Edward Rivera | Case Manager/Care Coordinator | 458 Grand Ave., Suite 103, New Haven, CT 06513 | 2019-01-25 |
| 1134698442 | Village of Angels Home Health Care LLC | Respite Care | 470 James Street, Suite 007, New Haven, CT 06513 | 2018-11-15 |
| 1609358068 | Sarah Khalil | Pharmacist | 745 Foxon Road, East Haven, CT 06513 | 2018-09-02 |
| 1912358375 | Domanice Poindexter | Nurse Practitioner | Caremore Health, 444 Foxon Rd, East Haven, CT 06513 | 2016-06-28 |
| 1568839876 | My Fair Haven Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Grand Ave, New Haven, CT 06513 | 2015-08-24 |
| 1871979567 | Sankofa Counseling LLC | Community/Behavioral Health | 64 Thompson St Ste A101, East Haven, CT 06513 | 2015-08-04 |
| 1578967287 | Curtis Stewart | Pharmacy Technician | 661 Thompson Street, East Haven, CT 06513 | 2014-10-09 |
| 1548686322 | Davis Group LLC | Social Worker | 30 Grand Ave, New Haven, CT 06513 | 2014-03-17 |
| 1124459615 | James Lucas IIi | Dietitian, Registered | 167 Old Foxon Road, Unit 30b, New Haven, CT 06513 | 2013-12-09 |
| 1609206135 | Spretha Kadavath | Dentist | 50 Grand Ave, New Haven, CT 06513 | 2013-11-19 |
| Find all providers in zip 06513 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174951669 | Bela Kirit Dharia | Nurse Practitioner | 55 Lock Street, Yale Health, New Haven, CT 06511-3603 | 2013-10-22 |
| 1841566775 | Leora Hauptman | Nurse Practitioner | 330 Cedar St # 4093, New Haven, CT 06510-3218 | 2012-03-26 |
| 1790909620 | Jayne Foster Linley | Nurse Practitioner | 102 Nash Street, New Haven, CT 06511 | 2007-04-12 |
| 1194842575 | Susan Marie Peters | Nurse Practitioner | 139 Orchard Street, New Haven, CT 06519 | 2007-03-23 |
| 1922165141 | Martha K Swartz | Nurse Practitioner | 789 Howard Ave., Yale New Haven Hospital Pediatric Primary Care Center, New Haven, CT 06510 | 2007-01-03 |
| 1356416747 | Denise Catherine Wagner | Nurse Practitioner | Yale-new Haven Hospital, 20 York Street, Primary Care Center, New Haven, CT 06510 | 2006-11-21 |
| 1174694798 | Nicole Langan Maciejak | Nurse Practitioner | 35 Davis Street, Sbhc, New Haven, CT 06515-1601 | 2006-11-13 |
| 1619901535 | Earlene Jane Peckham | Nurse Practitioner | 191 Fountain St, New Haven, CT 06515-1901 | 2006-07-10 |
| 1174510440 | Jane Lawrence-riddell | Nurse Practitioner | 1 Long Wharf Dr, Suite 105, New Haven, CT 06511-5991 | 2005-10-03 |
| 1760477012 | Kim Alison Levinson | Nurse Practitioner | 33 Cedar Street, New Haven, CT 06510 | 2005-09-13 |
| Find all providers in NEW HAVEN | ||||
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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.