ILEANA COLLAZO (NPI# 1134529316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134529316 |
| Entity Type | Individual |
| Full Name | ILEANA COLLAZO |
| Practice Address |
1680 Albany Ave Hartford CT 06105-1001 |
| Practice Telephone | 8602364511 |
| Mailing Telephone | 8602364511 |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1680 ALBANY AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487690418 | Karrie L Ellis | Nurse Practitioner | 1680 Albany Ave, Hartford, CT 06105 | 2006-06-20 |
| 1407476070 | Natalie Mohown | Registered Nurse | 1680 Albany Ave, Hartford, CT 06105-1001 | 2020-04-23 |
| 1215566963 | Tenisha Astwood | Registered Nurse | 1680 Albany Ave, Hartford, CT 06105-1001 | 2020-04-05 |
| 1851929046 | Faundala Weymon | Registered Nurse | 1680 Albany Ave, Hartford, CT 06105-1001 | 2020-04-01 |
| 1801420401 | Ishona D Caputo | Marriage & Family Therapist | 1680 Albany Ave, Hartford, CT 06105-1001 | 2020-02-24 |
| 1366074296 | Dana L Baker | Registered Nurse | 1680 Albany Ave, Hartford, CT 06105-1001 | 2020-02-09 |
| 1235760216 | Jeanne Brown-williams | Registered Nurse | 1680 Albany Ave, Hartford, CT 06105-1001 | 2020-01-29 |
| 1871139410 | De'dre'ona Henry | Registered Nurse | 1680 Albany Ave, Hartford, CT 06105-1001 | 2019-11-19 |
| 1093358863 | Nashaly Alamo | Counselor | 1680 Albany Ave, Hartford, CT 06105-1001 | 2019-10-23 |
| 1154972123 | Michelle Rumery | Social Worker | 1680 Albany Ave, Hartford, CT 06105-1001 | 2019-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316591100 | Michael Levesque | Case Manager/Care Coordinator | 57 Gillett St, Hartford, CT 06105-2602 | 2019-07-30 |
| 1225319353 | Jon Rene | Case Manager/Care Coordinator | 56 G S Prospect St # G, G, Hartford, CT 06106-1937 | 2011-09-02 |
| 1457985145 | Annemary Gordon | Case Manager/Care Coordinator | 45 Wadsworth St, Hartford, CT 06106-7108 | 2020-03-03 |
| 1689208373 | Subrina Nelson | Case Manager/Care Coordinator | 45 Wadsworth St, Hartford, CT 06106-7108 | 2020-03-03 |
| 1770097198 | Sophia Theresa Cobham | Case Manager/Care Coordinator | 999 Asylum Ave, Hartford, CT 06105-2416 | 2017-11-21 |
| 1255857314 | Jessica Elizabeth Budri | Case Manager/Care Coordinator | 282 Washington St, Hartford, CT 06106-3322 | 2017-08-20 |
| 1396124798 | Monique Woods | Case Manager/Care Coordinator | 896 Asylum Ave, Hartford, CT 06105-1901 | 2015-05-19 |
| 1437597200 | Brenda Dean Everett | Case Manager/Care Coordinator | 896 Asylum Ave, Hartford, CT 06105-1901 | 2013-06-13 |
| 1831457605 | Lynette Maldonado | Case Manager/Care Coordinator | 45 Wadsworth St, Hartford, CT 06106-7108 | 2012-04-30 |
| 1528393378 | Eleonora Alicia Salvetti | Case Manager/Care Coordinator | 45 Wadsworth St, Hartford, CT 06106-7108 | 2009-10-13 |
| Find all providers in HARTFORD | ||||
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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.