ELIZABETH PELLETIER (NPI# 1174166987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174166987 |
Entity Type | Individual |
Full Name | ELIZABETH PELLETIER |
Practice Address |
1030 Boulevard West Hartford CT 06119-1801 |
Mailing Address |
100 Sunrise Dr Manchester CT 06040-9307 |
Practice Telephone | 8609866440 |
Enumeration Date | 2019-10-24 |
Last Update Date | 2019-10-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8560 | CT | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780206391 | Elizabeth Pelletier | Social Worker | 1843 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2020-05-18 |
1114021482 | Elizabeth Margery Pelletier | Physician Assistant | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-09-08 |
1487696100 | Elizabeth Ann Pelletier | Nurse Anesthetist, Certified Registered | 260 Hospital Dr, Brevard, NC 28712-3378 | 2006-06-11 |
Street Address |
1030 BOULEVARD |
City | WEST HARTFORD |
State | CT |
Zip Code | 06119-1801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255752945 | Ctuc01 | Clinic/Center | 1030 Boulevard, West Hartford, CT 06119 | 2013-12-23 |
1982227336 | James Andrew Stringer | Physician Assistant | 1030 Boulevard, West Hartford, CT 06119-1801 | 2020-05-20 |
1538729702 | Naomi Mara Sydney | Nurse Practitioner | 1030 Boulevard, West Hartford, CT 06119-1801 | 2019-06-19 |
1235799503 | Lauren Catherine Shaw | Physician Assistant | 1030 Boulevard, West Hartford, CT 06119-1801 | 2019-06-18 |
1679026397 | Ctuc02 Urgent Care PC | Clinic/Center | 1030 Boulevard, West Hartford, CT 06119-1801 | 2016-07-28 |
1962885194 | Brandon Batory | Physician Assistant | 1030 Boulevard, West Hartford, CT 06119-1801 | 2015-07-07 |
1740684901 | Charysse Johnson | Physician Assistant | 1030 Boulevard, West Hartford, CT 06119-1801 | 2014-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063957389 | Hannah Aliberti | Behavioral Analyst | 792 Farmington Ave, West Hartford, CT 06119 | 2016-12-21 |
1962757088 | Arman Samad-zadeh | Dentist | 836 Farmington Ave Ste 115, West Hartford, CT 06119 | 2012-07-15 |
1356606123 | East West Obgyn | Obstetrics & Gynecology | 836 Farmington Ave. S. 211, West Hartford, CT 06119 | 2012-07-09 |
1285901314 | Onyeijen Mgbejume | Pharmacist | 674 Famington Avenue, West Hartford, CT 06119 | 2011-11-17 |
1134403553 | Cornelia F Sharrow | Social Worker | 17 South Highland St, West Hartford, CT 06119 | 2011-10-04 |
1952613218 | Lauren B Kopyt | Pediatrics | 785 Farmington Avenue, West Hartford, CT 06119 | 2010-07-02 |
1043542657 | Leticia Jacquet | Physical Therapist | 1022 Boulevard, #274, West Hartford, CT 06119 | 2010-02-06 |
1003051467 | Emily Bevelaqua Pellegrino | Music Therapist | 72 Maplewood Ave, West Hartford, CT 06119 | 2008-12-12 |
1124233473 | Theresa M Johnson | Counselor | 361 Park Rd, 3rd Fl, West Hurtford, CT 06119 | 2007-05-11 |
1053523589 | Paula Stern | Dentist | 780 Farmington Avenue, West Hartford, CT 06119 | 2007-05-04 |
Find all providers in zip 06119 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871149153 | Katherine Krevolin | Nurse Practitioner | 53 Ferncliff Dr, West Hartford, CT 06117-1013 | 2019-08-13 |
1639739915 | Julie Nicole Rome | Nurse Practitioner | 345 N Main St Ste 112, West Hartford, CT 06117-2508 | 2019-06-18 |
1023533353 | Marina Creed | Nurse Practitioner | 87 Outlook Avenue, West Hartford, CT 06119-2214 | 2017-08-08 |
1518016799 | Judith Lynn Briggs | Nurse Practitioner | 29 Troy St, West Hartford, CT 06119-1757 | 2007-01-09 |
1952325813 | Kristine Sterling | Nurse Practitioner | 1030 New Britain Ave, West Hartford, CT 06110-2261 | 2006-07-26 |
1285269431 | Shauna Rafferty | Nurse Practitioner | 836 Farmington Ave Ste 207, West Hartford, CT 06119-1544 | 2020-03-09 |
1821641671 | Kaitlin Noelle Erickson | Nurse Practitioner | 345 N Main St Ste 112, West Hartford, CT 06117-2508 | 2019-07-22 |
1538729702 | Naomi Mara Sydney | Nurse Practitioner | 1030 Boulevard, West Hartford, CT 06119-1801 | 2019-06-19 |
1821557026 | Stephanie Lamothe | Nurse Practitioner | 1001 Farmington Ave, West Hartford, CT 06107-2135 | 2019-03-18 |
1497224737 | Elayna Kaye | Nurse Practitioner | 785 Farmington Ave, West Hartford, CT 06119-1673 | 2018-11-15 |
Find all providers in WEST HARTFORD |
City | WEST HARTFORD |
Zip Code | 06119 |
Please comment or provide details below to improve the information on ELIZABETH PELLETIER.
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.