JODY HEFFERNAN (NPI# 1043305402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043305402 |
| Entity Type | Individual |
| Full Name | JODY HEFFERNAN |
| Credential | NP |
| Practice Address |
111 Goose Ln Guilford CT 06437-5101 |
| Mailing Address |
360 Sea Hill Rd North Branford CT 06471-1412 |
| Practice Telephone | 2034582097 |
| Mailing Telephone | 2033151144 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 002918 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
002918 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336513761 | Jody Elizabeth Heffernan | Nurse Practitioner | 300 Longwood Ave, Nicu - 7 North, Boston, MA 02115-5724 | 2015-11-23 |
| Street Address |
111 GOOSE LN |
| City | GUILFORD |
| State | CT |
| Zip Code | 06437-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982692794 | Thomas E Verdone | Specialist | 111 Goose Ln, Guilford, CT 06437-5101 | 2005-10-06 |
| 1417509225 | Kejal Amin | Pharmacist | 111 Goose Ln, Guilford, CT 06437-5101 | 2019-07-11 |
| 1841462488 | Ssc II LLC | Clinic/Center | 111 Goose Ln, Guilford, CT 06437-5101 | 2008-03-24 |
| 1124299664 | Sarah Elizabeth Rogers | Physical Therapist | 111 Goose Ln, Suite 2500, Guilford, CT 06437-5101 | 2008-03-12 |
| 1861673691 | Daniel M Greif | Internal Medicine | 111 Goose Ln, Guilford, CT 06437-5101 | 2007-11-20 |
| 1386836849 | Alvin Donald Greenberg | Specialist | 111 Goose Ln, Ste 2300, Guilford, CT 06437-5101 | 2007-08-17 |
| 1124247325 | Cheryl Lea Robaczynski | Dietitian, Registered | 111 Goose Ln, Ynhh Shoreline Medical Center, Guilford, CT 06437-5101 | 2007-04-25 |
| 1538388350 | Susann Caroline Boroczky | Dietitian, Registered | 111 Goose Ln, Guilford, CT 06437-5101 | 2007-04-24 |
| 1891918850 | Yale New Haven Hospital | Dietitian, Registered | 111 Goose Ln, Office #1806, Guilford, CT 06437-5101 | 2007-04-10 |
| 1871548768 | Physiotherapy Associates Inc | Clinic/Center | 111 Goose Ln, Suite 2500, Guilford, CT 06437-5101 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012148 | Guilford Holistic Health Practitioners, LLC | Clinic/Center | 5 Durham Rd Ste B6, Guilford, CT 06437 | 2018-08-10 |
| 1043738594 | Stephanie Rose Weady | Physical Therapist | 753 Boston Post Road Suite 101, Guilford, CT 06437 | 2017-09-05 |
| 1104221019 | Holistic Psychotherapy | Social Worker | 35 Boston St., Guilford, CT 06437 | 2014-11-04 |
| 1083030332 | Frank Edward West | Marriage & Family Therapist | 17 E. River Rd, Guilford, CT 06437 | 2014-03-11 |
| 1063845188 | Stephanie Gerrish O'sullivan | Health Educator | 623 Village Walk, Guilford, CT 06437 | 2013-08-13 |
| 1205279247 | Jared Macklin | Internal Medicine | 800 Boston Post Rd Ste 201, Guilford, CT 06437 | 2013-04-09 |
| 1821364019 | Elan Gorshein | Internal Medicine | Yale-new Haven Shoreline Medical Center, 111 Goose Lane, Suite 1300, Guilford, CT 06437 | 2012-04-01 |
| 1740411396 | Denise Lewis Roberts | Social Worker | 2 Guile Road, Guilford, CT 06437 | 2009-07-30 |
| 1487882437 | Bryce E Mcmanus | Chiropractor | 133 State Street, Guilford, CT 06437 | 2009-06-29 |
| 1215139654 | Eleanor D Weissberg | Pediatrics | 64 Prospect Ave, Guilford, CT 06437 | 2007-06-05 |
| Find all providers in zip 06437 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164083879 | Maria Christina Koursaris | Nurse Practitioner | 5 Durham Rd, Guilford, CT 06437-2076 | 2019-06-24 |
| 1952654931 | Erica Mcmillian | Nurse Practitioner | 5 Durham Rd, Building 3, Guilford, CT 06437-2076 | 2012-10-16 |
| 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 |
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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.