DR. ELIZABETH MB VISONE (NPI# 1114924172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114924172 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH MB VISONE |
| Credential | DNP, APRN |
| Practice Address |
925 Sullivan Ave Suite 100 South Windsor CT 06074-2025 |
| Practice Telephone | 8606441521 |
| Mailing Telephone | 8606441521 |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2016-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
002572 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
002572 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | STATE APRN LICENSE | 002572 | 01 |
| DEA NUMBER | MV0767244 | 01 | |
| CT | ST CONTROLLED SUBSTANCE # | 31440 | 01 |
| CT | STATE RN LICENSE NUMBER | E43356 | 01 |
| Street Address |
925 SULLIVAN AVE SUITE 100 |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184140394 | Marcy Calsetta | Nurse Practitioner | 925 Sullivan Ave, Ste 1, South Windsor, CT 06074-2080 | 2017-08-18 |
| 1902350382 | Kara Nelsen | Nurse Practitioner | 925 Sullivan Ave, Suite 1, South Windsor, CT 06074-2025 | 2016-08-15 |
| 1396193488 | Climb Innovations LLC | Family Medicine | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2016-05-30 |
| 1285011361 | Jeannie Dilworth, LLC | Nurse Practitioner | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2015-04-28 |
| 1134513062 | Art of Therapy, LLC. | Marriage & Family Therapist | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2015-03-28 |
| 1144614074 | Clearview Therapy, LLC. | Social Worker | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2015-03-28 |
| 1093947657 | Tracy Marie Lewis | Social Worker | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2009-08-17 |
| 1336385871 | Stacey Mae Hansen | Marriage & Family Therapist | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2009-01-06 |
| 1265487425 | Jeannie Dilworth | Nurse Practitioner | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936959 | Meredith Ashley Mckenna | Nurse Practitioner | 2701 Tamarack Ave Unit G201, South Windsor, CT 06074-5562 | 2019-11-12 |
| 1205346335 | William A Abrokwa | Nurse Practitioner | 925 Sullivan Ave Ste 2, South Windsor, CT 06074-2080 | 2017-10-03 |
| 1932553898 | Matthew Witkovic | Nurse Practitioner | 31 Cinnamon Spgs, South Windsor, CT 06074-3623 | 2016-04-18 |
| 1508295262 | Collette Keise | Nurse Practitioner | 38 Carson Way, South Windsor, CT 06074-1847 | 2013-11-04 |
| 1750369625 | Miriam Schwartz | Nurse Practitioner | 1050 Sullivan Ave Ste A4, South Windsor, CT 06074-2000 | 2006-01-02 |
| 1356954085 | Caitlin Falla | Nurse Practitioner | 525 Buckland Rd, South Windsor, CT 06074-3746 | 2020-08-24 |
| 1508489519 | Stacey Roy | Nurse Practitioner | 525 Buckland Rd, South Windsor, CT 06074-3746 | 2020-05-26 |
| 1992347397 | Sheena Robbins Wraight | Nurse Practitioner | 2701 Tamarack Ave, South Windsor, CT 06074-5562 | 2019-10-17 |
| 1174080477 | Koral Ben-simon | Nurse Practitioner | 1559 Sullivan Ave, South Windsor, CT 06074-2712 | 2019-02-23 |
| 1861969966 | Pauline Patricia Wilks | Nurse Practitioner | 2701 Tamarack Ave, South Windsor, CT 06074-5562 | 2018-10-26 |
| Find all providers in SOUTH WINDSOR | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
Please comment or provide details below to improve the information on DR. ELIZABETH MB VISONE.
| 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.