MEGIN IACCARINO (NPI# 1033561758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033561758 |
Entity Type | Individual |
Full Name | MEGIN IACCARINO |
Practice Address |
250 Flat Rock Pl 2nd Fl Westbrook CT 06498-1565 |
Mailing Address |
28 Crescent St Middletown CT 06457-3654 |
Practice Telephone | 8606643553 |
Practice Fax Number | 8603588656 |
Mailing Telephone | 8603584820 |
Mailing Fax Number | 8603588661 |
Enumeration Date | 2016-07-06 |
Last Update Date | 2017-04-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
006728 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
250 FLAT ROCK PL 2ND FL |
City | WESTBROOK |
State | CT |
Zip Code | 06498-1565 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053385310 | David E Walker | Family Medicine | 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498-1565 | 2006-02-14 |
1326497876 | Jason Ziegler | Family Medicine | 250 Flat Rock Pl, Westbrook, CT 06498-3585 | 2016-06-06 |
1962889337 | Juliette Nedah Harris | Family Medicine | 250 Flat Rock Pl, Westbrook, CT 06498-3585 | 2015-05-05 |
1811246929 | Laura E. Wing | Nurse Practitioner | 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498-1565 | 2012-09-05 |
1487910527 | Colleen R Chappell | Physician Assistant | 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498-1565 | 2012-04-03 |
1114205473 | Tara T.s. Fagan | Nurse Practitioner | 250 Flat Rock Pl, Westbrook, CT 06498-1565 | 2011-08-03 |
1619200920 | Lauren Hart Nichols | Physician Assistant | 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498-1565 | 2009-09-18 |
1780884569 | Shane Thomas Ridge | Family Medicine | 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498-1565 | 2007-07-20 |
1881705226 | Valerie M Small | Family Medicine | 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498-1565 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699966648 | Anthony P Ciaburri | Physical Therapist | 5 Pequot Park Road, Suite 303, Westbrook, CT 06498 | 2007-08-06 |
1043224579 | Thomas V Brady | Dentist | 1823 Boston Post Rd, Westbrook, CT 06498 | 2006-07-28 |
1194760579 | Gregory J Kundrat | Family Medicine | 4 Grove Beach Rd North, Building 1, Unit A, Westbrook, CT 06498 | 2006-06-18 |
1437468386 | Westbrook Youth and Family Services, Inc | Counselor | 1163 Boston Post Rd, Westbrook, CT 06498-0918 | 2010-09-27 |
1912295924 | Marvin Lloyd Sears | Ophthalmology | 952 Pond Meadow Rd, Westbrook, CT 06498-1429 | 2011-07-12 |
1689841660 | Kristina J. Lipeika | Physical Therapist | 5 Pequot Park Rd, Lakebrook Medical Center Suite 303, Westbrook, CT 06498-1467 | 2008-05-09 |
1700321403 | Dignity Home Health LLC | Home Health | 30 Ken Rose Ter, Westbrook, CT 06498-1487 | 2017-01-04 |
1568551174 | Holly Finley David | Dietitian, Registered | 44 Andre Dr, Westbrook, CT 06498-1525 | 2006-10-12 |
1851510929 | Mhs Primary Care, Inc. | Internal Medicine | Physician Office One, 250 Flat Rock Pl, Westbrook, CT 06498-1565 | 2007-04-25 |
1063937860 | Middlesex Hospital | Internal Medicine | Physician Office One, 250 Flat Rock Place, Westbrook, CT 06498-1565 | 2017-08-14 |
Find all providers in zip 06498 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194351445 | Frances Ladd Lewis | Nurse Practitioner | 950 Main St, Westbrook, ME 04092-3067 | 2020-03-19 |
1700411006 | Kristen Marie Sowada | Nurse Practitioner | 123 Andover Rd, Westbrook, ME 04092-3848 | 2020-03-06 |
1982257846 | Philip Washburn Browne | Nurse Practitioner | 950 Main St, Westbrook, ME 04092-3067 | 2019-07-19 |
1386101004 | Ashley Nicole Moody | Nurse Practitioner | 950 Main St, Westbrook, ME 04092-3067 | 2019-02-28 |
1093281362 | Evelyn Hayden Bunce | Nurse Practitioner | 123 Andover Rd, Westbrook, ME 04092-3850 | 2018-10-15 |
1417318742 | Mikayla Chase | Nurse Practitioner | 1 Harnois Ave, Westbrook, ME 04092-4392 | 2016-03-15 |
1740662832 | Caitlin Costigan | Nurse Practitioner | 1 Harnois Ave, Westbrook, ME 04092-4392 | 2015-06-24 |
1982093753 | Samantha Doe | Nurse Practitioner | 40 Park Rd, Westbrook, ME 04092-3188 | 2015-01-16 |
1265865323 | Jennifer K Deane | Nurse Practitioner | 1 Harnois Ave, 2nd Floor, Westbrook, ME 04092-4392 | 2013-08-13 |
1811246929 | Laura E. Wing | Nurse Practitioner | 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498-1565 | 2012-09-05 |
Find all providers in WESTBROOK |
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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.