MS. JEAN ELIZABETH ENDERLE (NPI# 1053327999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053327999 |
| Entity Type | Individual |
| Full Name | MS. JEAN ELIZABETH ENDERLE |
| Credential | APRN |
| Practice Address |
270 Farmington Ave #309 Farmington CT 06032-1909 |
| Practice Telephone | 8606775570 |
| Practice Fax Number | 8606779570 |
| Mailing Telephone | 8606775570 |
| Mailing Fax Number | 8606779570 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2013-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
001303 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
001303 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
270 FARMINGTON AVE #309 |
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1376042069 | Andrea Louise Crawford | Nurse Practitioner | 205 W Harrison St, Farmington, MO 63640-2509 | 2018-02-07 |
| 1235505694 | Suzanne Alexis | Nurse Practitioner | 218 Fairbanks Rd, Farmington, ME 04938-5773 | 2015-08-19 |
| 1669796652 | Terri Dawn Fortner | Nurse Practitioner | 1001 W. Broadway, Farmington, NM 87401 | 2010-03-18 |
| 1912166844 | Cathy B Poe | Nurse Practitioner | 234 N Schwartz Ave, Farmington, NM 87401-5547 | 2008-06-05 |
| 1922276708 | Anastasia Okoniewski | Nurse Practitioner | University of Ct Health Center, 263 Farmington Avenue Mc2103, Farmington, CT 06030-0001 | 2008-02-14 |
| 1770542524 | Heather Lee Spear | Nurse Practitioner | John Dempsey Hospital, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2006-03-21 |
| 1558347385 | Sylvia Irene Ingerson | Nurse Practitioner | 213 Titcomb Hill Rd, Unit B4, Farmington, ME 04938-5639 | 2005-12-22 |
| 1538142435 | Jill Leslie Duboff-jacomini | Nurse Practitioner | 10 Talcott Notch Rd, Farmington, CT 06032-1800 | 2005-11-23 |
| 1770192106 | Sarah Theo Porter | Nurse Practitioner | 291 S 200 W, Farmington, UT 84025-2419 | 2020-07-31 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06032 |
Please comment or provide details below to improve the information on MS. JEAN ELIZABETH ENDERLE.
| 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.