MS. JANE LAWRENCE-RIDDELL (NPI# 1174510440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174510440 |
| Entity Type | Individual |
| Full Name | MS. JANE LAWRENCE-RIDDELL |
| Other Name | JANE MAXFIELD |
| Credential | APRN |
| Practice Address |
1 Long Wharf Dr Suite 105 New Haven CT 06511-5991 |
| Practice Telephone | 2038653737 |
| Practice Fax Number | 2036240751 |
| Mailing Telephone | 2038653737 |
| Mailing Fax Number | 2036240751 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2014-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
002336 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 LONG WHARF DR SUITE 105 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726856 | Mekessia Richards-carby | Nurse Practitioner | 1 Long Wharf Dr, New Haven, CT 06511-5991 | 2020-09-25 |
| 1942843081 | Cassandra Marie Irizarry | Counselor | 1 Long Wharf Dr, New Haven, CT 06511-5991 | 2019-10-22 |
| 1003463159 | Ashley Antonucci | Nurse Practitioner | 1 Long Wharf Dr, New Haven, CT 06511-5991 | 2019-08-22 |
| 1720559438 | Yvonne Bolumole | Registered Nurse | 1 Long Wharf Dr, New Haven, CT 06511-5991 | 2018-12-07 |
| 1295206803 | Debbie A. Koonce | Licensed Practical Nurse | 1 Long Wharf Dr, New Haven, CT 06511-5991 | 2018-12-07 |
| 1659862274 | Nathan Lipkind | Social Worker | 1 Long Wharf Dr, New Haven, CT 06511 | 2018-05-21 |
| 1851893549 | Sammy Falcon | Counselor | 1 Long Wharf Dr, New Haven, CT 06511-5991 | 2018-03-08 |
| 1891217022 | Lisa Magistro | Nurse Practitioner | 1 Long Wharf Dr, New Haven, CT 06511-5991 | 2017-07-10 |
| 1972036622 | Julie A. Mcglynn | Genetic Counselor, MS | 1 Long Wharf Dr, 2nd Floor; Room 293, New Haven, CT 06511-5991 | 2017-04-10 |
| 1740711910 | Lindsay Margaret-sander Oberleitner | Psychologist | 1 Long Wharf Dr, Fordd, Suite 7, New Haven, CT 06511-5991 | 2017-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174951669 | Bela Kirit Dharia | Nurse Practitioner | 55 Lock Street, Yale Health, New Haven, CT 06511-3603 | 2013-10-22 |
| 1841566775 | Leora Hauptman | Nurse Practitioner | 330 Cedar St # 4093, New Haven, CT 06510-3218 | 2012-03-26 |
| 1790909620 | Jayne Foster Linley | Nurse Practitioner | 102 Nash Street, New Haven, CT 06511 | 2007-04-12 |
| 1194842575 | Susan Marie Peters | Nurse Practitioner | 139 Orchard Street, New Haven, CT 06519 | 2007-03-23 |
| 1922165141 | Martha K Swartz | Nurse Practitioner | 789 Howard Ave., Yale New Haven Hospital Pediatric Primary Care Center, New Haven, CT 06510 | 2007-01-03 |
| 1356416747 | Denise Catherine Wagner | Nurse Practitioner | Yale-new Haven Hospital, 20 York Street, Primary Care Center, New Haven, CT 06510 | 2006-11-21 |
| 1174694798 | Nicole Langan Maciejak | Nurse Practitioner | 35 Davis Street, Sbhc, New Haven, CT 06515-1601 | 2006-11-13 |
| 1033224670 | Ivette Becerra Ortiz | Nurse Practitioner | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-08-21 |
| 1619901535 | Earlene Jane Peckham | Nurse Practitioner | 191 Fountain St, New Haven, CT 06515-1901 | 2006-07-10 |
| 1760477012 | Kim Alison Levinson | Nurse Practitioner | 33 Cedar Street, New Haven, CT 06510 | 2005-09-13 |
| Find all providers in NEW HAVEN | ||||
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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.