SAMARA DEJESUS (NPI# 1053952283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053952283 |
| Entity Type | Individual |
| Full Name | SAMARA DEJESUS |
| Practice Address |
419 Bruce Ave Stratford CT 06615-5525 |
| Practice Telephone | 2039234211 |
| Mailing Telephone | 2039234211 |
| Enumeration Date | 2019-09-29 |
| Last Update Date | 2019-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 40813 | CT | Nursing Service Providers |
| Street Address |
419 BRUCE AVE |
| City | STRATFORD |
| State | CT |
| Zip Code | 06615-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154713832 | Lauren Pessin | Behavioral Analyst | 55 Sutton Ave, Stratford, CT 06615 | 2015-03-04 |
| 1801223748 | Steven Flathers | Occupational Therapist | 27 Eunice Parkway, Stratford, CT 06615 | 2013-10-10 |
| 1700219243 | Stratford Orthodontics | Dentist | 2499 Main Street, Stratford, CT 06615 | 2013-08-20 |
| 1417380981 | Debra L Tomaselli | Marriage & Family Therapist | 2296 Main Street, 2nd Floor, Stratford, CT 06615 | 2013-08-19 |
| 1003199217 | Katherine Bajda | Nurse Practitioner | 837 Prospect Drive, Stratford, CT 06615 | 2011-09-23 |
| 1336326495 | Dammy Bamisile | Social Worker | 100 Center Street, Shelton, CT 06615 | 2008-01-30 |
| 1487868550 | Mark Rabin | Medical Genetics, Ph.D. Medical Genetics | Dianon Systems, 200 Watson Boulevard, Stratford, CT 06615 | 2007-05-09 |
| 1205958675 | Sophia Leonida M.d., PC | Clinic/Center | 2505 Main St., Stratford, CT 06615 | 2007-04-04 |
| 1558488213 | Fatima Eslami-varzaneh | Pathology | 200 Watson Boulvard, Stratford, CT 06615 | 2007-03-26 |
| 1881729804 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 555 Lordship Boulevard, Stratford, CT 06615 | 2007-02-22 |
| Find all providers in zip 06615 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427518414 | Guylene Buissereth | Licensed Practical Nurse | 1786 Broadbridge Ave, Stratford, CT 06614-4706 | 2019-03-25 |
| 1629502299 | Merline Phidd | Licensed Practical Nurse | 190 Milford Ave, Stratford, CT 06615-5617 | 2017-04-20 |
| 1922399526 | Rudy Anthony Brown | Licensed Practical Nurse | 67 Shirley Dr, Stratford, CT 06614-4652 | 2011-04-29 |
| 1033394317 | Philvie Guery Nestor | Licensed Practical Nurse | 395 Wiklund Ave, Stratford, CT 06614-4524 | 2008-01-04 |
| 1306188933 | Rochelle Wilkinson | Licensed Practical Nurse | 1 Colby Ave, Stratford, NJ 08084-1000 | 2013-03-21 |
| 1699033852 | Jermaine Richards | Licensed Practical Nurse | 3303 Main St, Stratford, CT 06614-4869 | 2012-04-25 |
| 1336340553 | Denise Valerie Blakney | Licensed Practical Nurse | 1 Colby Ave, Suite 7, Stratford, NJ 08084-1000 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947067 | Narita Boakye | Licensed Practical Nurse | 195 Canton St, West Haven, CT 06516-2234 | 2020-06-17 |
| 1124643036 | Teresa Wilson | Licensed Practical Nurse | 41 Farm St, Danbury, CT 06811-4612 | 2020-06-16 |
| 1710509658 | Caring Nurses, LLC | Licensed Practical Nurse | 107 Old Windsor Rd, Bloomfield, CT 06002-1400 | 2020-05-14 |
| 1740810357 | Alla Meyko | Licensed Practical Nurse | 1085 Hartford Tpke Apt 433, Vernon, CT 06066-4492 | 2020-01-22 |
| 1609412188 | Sheila Rousseau | Licensed Practical Nurse | 261 Cove Rd, Stamford, CT 06902-5220 | 2019-11-20 |
| 1588208839 | Helena Coffie | Licensed Practical Nurse | 85 Burwood Ave, Stamford, CT 06902-7702 | 2019-10-30 |
| 1750938932 | Evelyn Ramos | Licensed Practical Nurse | 111 Wilbur Peck Ct, Greenwich, CT 06830 | 2019-08-21 |
| 1679128110 | Brandi Nicole Evans | Licensed Practical Nurse | 120 Read St, New Haven, CT 06511-1150 | 2019-08-01 |
| 1740832344 | Janelle Alexandra Fabre | Licensed Practical Nurse | 154 Lockwood Ave, Stamford, CT 06902-5229 | 2019-07-12 |
| 1700348216 | Caroleeta Simpson | Licensed Practical Nurse | 233 Fairfield Ave Apt 2, Stamford, CT 06902-6603 | 2019-04-03 |
| Find all providers with the same taxonomy | ||||
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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.