BACKUS HEALTH CENTERS (NPI# 1033489984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033489984 |
| Entity Type | Organization |
| Organization Name | BACKUS HEALTH CENTERS |
| Practice Address |
163 Broadway St Colchester CT 06415-1022 |
| Mailing Address |
112 Lafayette St Norwich CT 06360-2737 |
| Practice Telephone | 8605374601 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |
| Authorized Official Name | CINDY HABEEB (CREDENTIALS COORDINATOR) |
| Authorized Official Telephone | 8604258715 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4880 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
163 BROADWAY ST |
| City | COLCHESTER |
| State | CT |
| Zip Code | 06415-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124272 | Stephen J Kaye | Internal Medicine | 163 Broadway St, Colchester, CT 06415-1022 | 2005-09-15 |
| 1033602230 | Micaela Rae Gobeille | Optometrist | 163 Broadway St, Colchester, CT 06415-1022 | 2018-06-12 |
| 1215387493 | Laura Kwon | Internal Medicine | 163 Broadway St, Colchester, CT 06415-1022 | 2016-06-17 |
| 1265855068 | Kathi Jean Karp | Nurse Practitioner | 163 Broadway St, Colchester, CT 06415-1022 | 2014-01-29 |
| 1427308105 | Alexandra Anna Sadanowicz | Optometrist | 163 Broadway St, Colchester, CT 06415-1022 | 2012-09-11 |
| 1891072757 | Community Medical Partners, Inc. | Colon & Rectal Surgery | 163 Broadway St, Colchester, CT 06415-1022 | 2011-11-07 |
| 1124215546 | Janine Fonfara | Social Worker | 163 Broadway St, Colchester, CT 06415-1022 | 2007-09-30 |
| 1487869442 | Colchester Eye Care, LLC | Optometrist | 163 Broadway St, Colchester, CT 06415-1022 | 2007-05-13 |
| 1700962040 | Conncare Inc | Nurse Practitioner | 163 Broadway St, Colchester, CT 06415-1022 | 2006-10-30 |
| 1982706990 | Laura C Popeleski | Physician Assistant | 163 Broadway St, Colchester, CT 06415-1022 | 2006-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225553571 | Coleman Pediatric Therapy LLC | Occupational Therapist | 155 Boretz Rd, Colchester, CT 06415 | 2017-08-08 |
| 1811346224 | Katie Coleman | Occupational Therapist | 155 Boretz Road, Colchester, CT 06415 | 2016-06-07 |
| 1104217637 | Beyond Autism Counseling Services and Supportive Guidance | Community/Behavioral Health | 85 Broadway Street, Colchester, CT 06415 | 2015-02-05 |
| 1235488701 | Jennifer Grandpre | Physical Therapist | 7 Park Avenue Suite 4, Colchester, CT 06415 | 2012-08-30 |
| 1174781660 | Mark Cahill | Acupuncturist | 79b Norwich Ave, Colchester, CT 06415 | 2008-05-30 |
| 1417166232 | Shelly Lynn Ceceri | Physical Therapy Assistant | 59 Harirington Court, Colchester, CT 06415 | 2007-05-21 |
| 1134341142 | Susan Gene Pugatch | Physical Therapist | 59 Harrington Court, Colchester, CT 06415 | 2007-05-02 |
| 1669699377 | Janice K. Loomis | Marriage & Family Therapist | 244 South Main St, Colchester, CT 06415 | 2007-04-20 |
| 1952439176 | Dona Gioco Hoff | Social Worker | 139 Mill Hill Rd, Colchester, CT 06415 | 2007-03-01 |
| 1194875294 | Mary-margaret Ellen Freier | Psychologist | 4 Van Cedarfield Rd., Colchester, CT 06415 | 2007-01-11 |
| Find all providers in zip 06415 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053559286 | Sandra Jean Palmer | Nurse Practitioner | 2032 Roosevelt Hwy, Box 283, Colchester, VT 05446-7233 | 2009-01-26 |
| 1104086362 | Frances M. Deegan | Nurse Practitioner | 84 Jaffee Ter, Colchester, CT 06415-1004 | 2008-06-11 |
| 1902235294 | Cheryl Spano | Nurse Practitioner | 7 Park Ave, Suite 1, Colchester, CT 06415-1128 | 2013-11-06 |
| 1821383076 | Beverley Flanagan Raymond | Nurse Practitioner | 354 Mountain View Dr, Suite 300, Colchester, VT 05446-5968 | 2011-06-16 |
| 1346250123 | Kathleen E Martin | Nurse Practitioner | 790 College Pkwy, Colchester, VT 05446-3007 | 2006-08-08 |
| 1376518878 | Constance M Lappen | Nurse Practitioner | 59 Harrington Ct, Harrington Court Center, Colchester, CT 06415-1207 | 2006-02-20 |
| 1639176738 | Christine P. Suratt | Nurse Practitioner | 792 College Pkwy, Suite 207, Colchester, VT 05446-3052 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997847 | Rachel Sarmento | Nurse Practitioner | 13 Sanford Dr, Shelton, CT 06484-5507 | 2020-09-23 |
| 1699399618 | Ann Monica Boisvert | Nurse Practitioner | 5 Perryridge Rd Ste 2-248, Greenwich, CT 06830-4608 | 2020-06-05 |
| 1861041121 | Huong T Nguyen | Nurse Practitioner | 400 Capital Blvd Ste 3, Rocky Hill, CT 06067-3576 | 2019-09-10 |
| 1598319980 | Daniella Gould | Nurse Practitioner | 75 Kings Highway Cutoff Ofc, Fairfield, CT 06824-5340 | 2019-07-24 |
| 1770042038 | Linda Lee Meyer | Nurse Practitioner | 320 Lakeview Ave, Waterbury, CT 06705-2145 | 2019-03-17 |
| 1942766761 | Lawrence M Anderson | Nurse Practitioner | 92 Harwood Rd, Waterbury, CT 06706-2420 | 2019-02-17 |
| 1912497751 | Catherine Rice | Nurse Practitioner | 25 Commerce Rd, Newtown, CT 06470-1607 | 2018-05-17 |
| 1407346323 | Irene D Gumboc | Nurse Practitioner | 99 Starr St, Norwich, CT 06360-4025 | 2018-05-16 |
| 1326546839 | Kristin Holly Van Horn | Nurse Practitioner | Winchester Chest Clinic, 789 Howard St, New Haven, CT 06510 | 2018-01-30 |
| 1891207411 | Michelene Wray | Nurse Practitioner | 474 Cowperthwaite St Apt C, Danbury, CT 06811-5518 | 2017-11-05 |
| Find all providers with the same taxonomy | ||||
| City | COLCHESTER |
| Zip Code | 06415 |
Please comment or provide details below to improve the information on BACKUS HEALTH CENTERS.
| 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.