MR. BRUCE JAMIE STEVENS (NPI# 1114220613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114220613 |
| Entity Type | Individual |
| Full Name | MR. BRUCE JAMIE STEVENS |
| Other Name | JAMIE STEVENS |
| Credential | APRN |
| Practice Address |
215 Broad St Apt 2w Milford CT 06460-4760 |
| Mailing Address |
215 Broad St Apt 2w Milford CT 06460-4760 |
| Practice Telephone | 2032835627 |
| Practice Fax Number | 2033819477 |
| Mailing Telephone | 2037279583 |
| Mailing Fax Number | 2033819477 |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4567 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 215 Broad St, Milford, CT 064604760 | 2032835627 | 2033819477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053517722 | Bruce J Stevens | Dentist | N52 W6295 Mill Street, Cedarburg, WI 53012 | 2007-06-21 |
| 1669503421 | Bruce Dwight Stevens | Chiropractor | 2453 Towne Lake Pkwy, Woodstock, GA 30189-5525 | 2007-03-07 |
| 1003870379 | Bruce Robert Stevens | Psychiatry & Neurology | 4470 Cox Rd Ste 170, Glen Allen, VA 23060 | 2006-04-13 |
| 1518939453 | Bruce L. Stevens | Radiology | 180 Kent Dr, E Greenwich, RI 02818-2318 | 2006-02-04 |
| 1518425305 | Bruce B. Stevens | Case Manager/Care Coordinator | 905 Nebraska Ave, Toledo, OH 43607-4222 | 2019-03-11 |
| 1255895819 | Bruce R. Stevens | Physical Therapy Assistant | 24 Hospital Ln, Calais, ME 04619-1329 | 2019-01-29 |
| Street Address |
215 BROAD ST APT 2W |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-4760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124569157 | Shoreline Neuropsychiatric Services, LLC | Nurse Practitioner | 215 Broad St, Unit 2w, Milford, CT 06460-4760 | 2017-03-09 |
| 1669525077 | Lynn K. Persson | Counselor | 215 Broad St, Milford, CT 06460-4760 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| 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 |
|---|---|---|---|---|
| 1679032163 | Angela Michelle Wagner | Nurse Practitioner | 1077 State Route 28 Ste 202, Milford, OH 45150-4000 | 2019-03-14 |
| 1972867695 | Susan J Boorin | Nurse Practitioner | 120 Broad St, Milford, CT 06460-4725 | 2012-06-27 |
| 1124301023 | Roxann Jean Hackbarth | Nurse Practitioner | 1004 21st St, Suite #3, Milford, IA 51351-7421 | 2011-09-27 |
| 1083748214 | Patrick Lynn Gagnon | Nurse Practitioner | 80 E Broadway Apt D, Milford, CT 06460-6120 | 2007-03-16 |
| 1023195765 | Christine S Simpson | Nurse Practitioner | 45 Wildemere Ave, Milford, CT 06460-5354 | 2006-11-01 |
| 1427168111 | Ruth Sposili | Nurse Practitioner | 11 Norman Cir, Milford, CT 06460-4234 | 2006-08-30 |
| 1245256692 | Laura Giesman | Nurse Practitioner | 52 W Main St, Suite 905, Milford, CT 06460-3310 | 2006-07-15 |
| 1336664598 | Anthony Michael Trezza | Nurse Practitioner | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2017-08-09 |
| 1609391978 | Desiree Marie Thomas | Nurse Practitioner | 247 Broad St, Milford, CT 06460-3273 | 2017-08-08 |
| 1124569157 | Shoreline Neuropsychiatric Services, LLC | Nurse Practitioner | 215 Broad St, Unit 2w, Milford, CT 06460-4760 | 2017-03-09 |
| Find all providers in MILFORD | ||||
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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.