PRACTITIONER SUPPORT SERVICES LLP (NPI# 1114115706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114115706 |
| Entity Type | Organization |
| Organization Name | PRACTITIONER SUPPORT SERVICES LLP |
| Practice Address |
324 Elm St Ste 202b Monroe CT 06468-2284 |
| Mailing Address |
Po Box 4058 Monroe CT 06468-9998 |
| Practice Telephone | 2035182124 |
| Mailing Telephone | 2035182124 |
| Mailing Fax Number | 8884960267 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2016-06-01 |
| Authorized Official Name | MR. DAVID V PENRY (PRESIDENT) |
| Authorized Official Telephone | 2035182124 |
| Authorized Official Credential | NP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004248870 | 05 |
| Street Address |
324 ELM ST STE 202B |
| City | MONROE |
| State | CT |
| Zip Code | 06468-2284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215581202 | Tara Christa Sanabria | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2019-07-29 |
| 1760034086 | Patience Oghomwenyemwen Akugue | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2019-07-16 |
| 1376106971 | Odette S Johnson | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2019-04-18 |
| 1154882165 | Erin Kathryn Devanney | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2019-03-31 |
| 1699255141 | Zulfiya Radcliffe | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2018-08-15 |
| 1255817888 | Caitlin Ballaro | Registered Nurse | 324 Elm St Ste 202b, Monroe, CT 06468 | 2018-07-17 |
| 1952899650 | Jessica Potrepka Arsenault | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2018-04-27 |
| 1114414547 | Darcey R Cusano | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2018-04-20 |
| 1053808634 | Trinitas Binan | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2018-04-18 |
| 1982127858 | Antoinette Brown | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2017-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669932117 | Christine Fuchs | Social Worker | 755 Main Street, Building 8, Monroe, CT 06468 | 2019-03-21 |
| 1700379765 | Emily Ding | Dentist | 241 Monroe Tpke, Monroe, CT 06468 | 2018-06-13 |
| 1427563550 | Oak Tree Therapy Pllc | Community/Behavioral Health | 755 Main Street, Building #1, Monroe, CT 06468 | 2017-12-12 |
| 1871013219 | Growth Therapy LLC | Marriage & Family Therapist | 755 Main St., Monroe, CT 06468 | 2017-06-27 |
| 1134677719 | Jacqueline M D'louhy | Social Worker | 115 Main St Main Street Counseling, Unit 3, Monroe, CT 06468 | 2016-09-13 |
| 1841638913 | Tara E Beall-gomes | Counselor | 755 Main St Unit 3, Monroe, CT 06468 | 2013-06-11 |
| 1609122787 | Jaimme Lee Franson | Nurse Practitioner | 324 Elm St Suite 202b, Monroe, CT 06468 | 2012-07-26 |
| 1427383488 | Danielle Maryott | Social Worker | 755 Main Street No. 8 Suite B, Monroe, CT 06468 | 2009-10-08 |
| 1710194758 | Rory T Perimenis | Dentist | 324 Elm Street, Suite 201a, Monroe, CT 06468 | 2007-05-17 |
| 1548339542 | Donald P. Opatrny | Marriage & Family Therapist | 755 Main St Ste 2, Aspetuck Counseling Center, Monroe, CT 06468 | 2006-11-06 |
| Find all providers in zip 06468 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376162 | Jody Kusheba | Nurse Practitioner | 72 Cottage St, Monroe, CT 06468-2917 | 2020-08-16 |
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1164075453 | Lisa Marie Kelly | Nurse Practitioner | 10 E Front St Apt B, Monroe, MI 48161-2269 | 2019-07-16 |
| 1205496361 | Anna Grace Livingston | Nurse Practitioner | 2509 Broadmoor Blvd Ste A, Monroe, LA 71201-3184 | 2019-06-19 |
| 1255898417 | Natalie Movsessian | Nurse Practitioner | 402 Stewart Rd, Monroe, MI 48162-4273 | 2019-02-25 |
| 1609358829 | Connie Sue Keller | Nurse Practitioner | 5038 Southpointe Pkwy, Monroe, MI 48161-4540 | 2018-09-04 |
| 1932689965 | Lewis Medical of Northeast Louisiana | Nurse Practitioner | 470 Springhill Rd, Monroe, LA 71203-9696 | 2018-08-20 |
| 1407348352 | Matthew D Mcguffee | Nurse Practitioner | 2516 Broadmoor Blvd Ste 2c-2, Monroe, LA 71201-2988 | 2018-06-05 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1104352319 | Cliff R. Ferreira | Nurse Practitioner | 730 N Monroe St, Suite #319, Monroe, MI 48162-2972 | 2017-05-08 |
| Find all providers in MONROE | ||||
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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.