ELIZABETH MAGENHEIMER (NPI# 1093819146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093819146 |
| Entity Type | Individual |
| Full Name | ELIZABETH MAGENHEIMER |
| Credential | FNP APRN |
| Practice Address |
374 Grand Avenue Fair Haven Community Health Ctr New Haven CT 06513 |
| Mailing Address |
120 Huntington Street New Haven CT 06511 |
| Practice Telephone | 2037777411 |
| Practice Fax Number | 2037778506 |
| Mailing Telephone | 2037871383 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
000756 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WELLCARE | 183832 | 01 | |
| CT CARE | 756000 | 01 |
| Street Address |
374 GRAND AVENUE FAIR HAVEN COMMUNITY HEALTH CTR |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033224670 | Ivette Becerra Ortiz | Nurse Practitioner | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-08-21 |
| 1497260798 | Elsie Eusebid Eszterhai | Dental Hygienist | 374 Grand Avenue, New Haven, CT 06513 | 2017-12-08 |
| 1043303258 | Ellen J Wormser | Advanced Practice Midwife | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-10-02 |
| 1376647420 | Ruth J Magraw | Pediatrics | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-09-11 |
| 1285738336 | Kathleen M Mitcheom | Advanced Practice Midwife | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-09-11 |
| 1902900053 | Clarice Begemann | Nurse Practitioner | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366906141 | Edward Rivera | Case Manager/Care Coordinator | 458 Grand Ave., Suite 103, New Haven, CT 06513 | 2019-01-25 |
| 1134698442 | Village of Angels Home Health Care LLC | Respite Care | 470 James Street, Suite 007, New Haven, CT 06513 | 2018-11-15 |
| 1609358068 | Sarah Khalil | Pharmacist | 745 Foxon Road, East Haven, CT 06513 | 2018-09-02 |
| 1912358375 | Domanice Poindexter | Nurse Practitioner | Caremore Health, 444 Foxon Rd, East Haven, CT 06513 | 2016-06-28 |
| 1568839876 | My Fair Haven Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Grand Ave, New Haven, CT 06513 | 2015-08-24 |
| 1871979567 | Sankofa Counseling LLC | Community/Behavioral Health | 64 Thompson St Ste A101, East Haven, CT 06513 | 2015-08-04 |
| 1578967287 | Curtis Stewart | Pharmacy Technician | 661 Thompson Street, East Haven, CT 06513 | 2014-10-09 |
| 1548686322 | Davis Group LLC | Social Worker | 30 Grand Ave, New Haven, CT 06513 | 2014-03-17 |
| 1124459615 | James Lucas IIi | Dietitian, Registered | 167 Old Foxon Road, Unit 30b, New Haven, CT 06513 | 2013-12-09 |
| 1609206135 | Spretha Kadavath | Dentist | 50 Grand Ave, New Haven, CT 06513 | 2013-11-19 |
| Find all providers in zip 06513 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750485801 | Maria Mauldon | Nurse Practitioner | 374 Grand Ave, Fair Haven Community Health Ctr, New Haven, CT 06511 | 2006-09-11 |
| 1902900053 | Clarice Begemann | Nurse Practitioner | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-09-11 |
| 1174638704 | Katherine M Perry | Nurse Practitioner | 374 Grand Ave, Fair Haven Community Health Center, New Haven, CT 06513 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649710559 | Frances Burrier | Nurse Practitioner | 30 Loeffler Rd, Bloomfield, CT 06002-2256 | 2017-02-27 |
| 1962955021 | Stephanie Wills | Nurse Practitioner | 21 Grand St, Hartford, CT 06106-1541 | 2016-07-25 |
| 1043415995 | Patricia Honan Carey | Nurse Practitioner | 137 East Ave, Norwalk, CT 06851-5702 | 2007-06-20 |
| 1023226305 | Eileen Callahan Farrar | Nurse Practitioner | 131 Coventry St, Disease Prevention&health Promotion, Hartford, CT 06112-1548 | 2007-05-18 |
Please comment or provide details below to improve the information on ELIZABETH MAGENHEIMER.
| 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.