MRS. JEANNE BEDARD (NPI# 1083687057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083687057 |
Entity Type | Individual |
Full Name | MRS. JEANNE BEDARD |
Credential | APRN |
Practice Address |
346 Pomfret St Putnam CT 06260-1871 |
Mailing Address |
Po Box 591 Putnam CT 06260-0591 |
Practice Telephone | 8609280815 |
Practice Fax Number | 8609284514 |
Mailing Telephone | 8609280815 |
Mailing Fax Number | 8609284514 |
Enumeration Date | 2006-02-09 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
001409 | CT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | ANTHEM BLUE CROSS | 400001409CT01 | 01 |
CT | CONNECTICARE | 014090 | 01 |
CT | BLUECARE FAMILY PLAN | 00422950700 | 01 |
CT | HEALTHNET | 2V1736 | 01 |
Street Address |
346 POMFRET ST |
City | PUTNAM |
State | CT |
Zip Code | 06260-1871 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033437074 | Carlos Morales | Surgery | 346 Pomfret St, Putnam, CT 06260-1871 | 2010-05-15 |
1366613614 | Dkh Diabetes Self Managment Education | Clinic/Center | 346 Pomfret St, Putnam, CT 06260-1871 | 2008-03-14 |
1306964580 | Virginia Rose Shea | Nurse Practitioner | 346 Pomfret St, Putnam, CT 06260-1871 | 2007-03-27 |
1609928183 | David L. Yeager, Md | Nurse Practitioner | 346 Pomfret St, Putnam, CT 06260-1871 | 2007-01-17 |
1124179106 | David L. Yeager, Md PC | Specialist | 346 Pomfret St, Putnam, CT 06260-1871 | 2007-01-16 |
1588737613 | Day Kimball Hospital Diabetes Education Program | Clinic/Center | 346 Pomfret St, Putnam, CT 06260-1871 | 2006-11-16 |
1437170495 | Denise L Sikorski | Dietitian, Registered | 346 Pomfret St, Putnam, CT 06260-1871 | 2006-07-22 |
1366471427 | P Subakeesan | Internal Medicine | 346 Pomfret St, Putnam, CT 06260-1871 | 2006-07-01 |
1811955396 | Michael E Baum | Surgery | 346 Pomfret St, Putnam, CT 06260-1871 | 2006-05-03 |
1154388627 | Surgical Assoc of Putnam PC | Surgery | 346 Pomfret St, Putnam, CT 06260-1871 | 2006-04-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
1649896390 | Bethany Barrette | Behavior Technician | 682 Providence Pike Suite E, Putnam, CT 06260 | 2020-06-18 |
1902450448 | Jillian Bellman | Registered Nurse | 391 Pomfret Street, Putnam, CT 06260 | 2019-08-01 |
1285297390 | Jourhana Colon | Behavior Technician | 62 Providence Pike Ste E, Putnam, CT 06260 | 2019-04-16 |
1457839417 | Amplisound, Inc. | Hearing Instrument Specialist | 19 Quinebaug Avenue, Putnam, CT 06260 | 2018-08-01 |
1184095960 | Lori Bergeron | Counselor | 391 Pomret Street, Putnam, CT 06260 | 2015-10-19 |
1558619957 | Merinessa Macayaon Quintilla | Physical Therapist | 10 Thurber Road, Genesis - Matulaitis Nursing Home, Putnam, CT 06260 | 2012-08-16 |
1235496936 | Mohsin Haseeb | Internal Medicine | Day Kimball Hospital, 320 Pomfret Street, Putnam, CT 06260 | 2012-04-18 |
1588932529 | Lifehouse Community Care, LLC | Home Health | 554 Liberty Highway Unit 2, Putnam, CT 06260 | 2011-12-05 |
1942433032 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 57 Providence Pike, Putnam, CT 06260 | 2009-08-24 |
Find all providers in zip 06260 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609928183 | David L. Yeager, Md | Nurse Practitioner | 346 Pomfret St, Putnam, CT 06260-1871 | 2007-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548655038 | Tania Richard | Nurse Practitioner | 17 Eastwood Rd, Groton, CT 06340-6010 | 2015-04-01 |
1710230842 | Lenore Ann Leone | Nurse Practitioner | 500 Old Farms Rd, Avon, CT 06001-2716 | 2012-10-26 |
1669571428 | Mary Jean Walker | Nurse Practitioner | 300 Western Boulevard, Glastonbury, CT 06033 | 2006-09-21 |
1992802037 | Adele Silhavy | Nurse Practitioner | 1000 Asylum Ave Rm 1026, Hartford, CT 06105-1701 | 2006-09-20 |
1902912827 | Elizabeth Jensen | Nurse Practitioner | 120 Simsbury Rd Ste B, Avon, CT 06001-3735 | 2006-08-22 |
1578590485 | Jean E. Mackay | Nurse Practitioner | 67 Hickory Hill Road, Simsbury, CT 06070 | 2006-06-27 |
1710963483 | Karen Marie Wunderlich | Nurse Practitioner | 120 Park Lane Rd Ste B202, New Milford, CT 06776-2450 | 2005-12-15 |
1467628016 | Jean D Vulte | Nurse Practitioner | 33 Bullet Hill Rd., Bullet Hill Park, Suite 214, Southbury, CT 06488-4699 | 2008-05-05 |
1477766202 | Timothy M Barczak Md LLC | Nurse Practitioner | 345 Montauk Ave, New London, CT 06320-4738 | 2007-05-08 |
1326166513 | Jean Carol Ohliger | Nurse Practitioner | 1050 Sullivan Ave, Suite A4, South Windsor, CT 06074-2000 | 2007-03-26 |
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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.