MS. JO-ANN DELOGE (NPI# 1174611628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174611628 |
| Entity Type | Individual |
| Full Name | MS. JO-ANN DELOGE |
| Credential | APRN |
| Practice Address |
391 Ocean Avenue New London CT 06320-4717 |
| Mailing Address |
1290 Silas Deane Hwy Hhc Cvo Enrollment 1st Floor Wethersfield CT 06109 |
| Practice Telephone | 8604472489 |
| Practice Fax Number | 8604371231 |
| Mailing Telephone | 8609726970 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 002911 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004240678 | 05 |
| Street Address |
391 OCEAN AVENUE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790873248 | Shri Kris Verma | Internal Medicine | 391 Ocean Avenue, New London, CT 06320-4717 | 2006-10-10 |
| 1699967729 | Shri Kris Verma Md | Internal Medicine | 391 Ocean Avenue, New London, CT 06320-4717 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073006581 | Adriana Shea Godfrey | Nurse Practitioner | 4 Shaws Cv Ste 103, New London, CT 06320-4956 | 2018-06-08 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1447459839 | Coastal Digestive Diseases | Nurse Practitioner | 234a Bank St Fl 4, New London, CT 06320-6054 | 2007-07-16 |
| 1518090976 | Edward Mcdermott Md | Nurse Practitioner | 276 Montauk Ave # R, New London, CT 06320-4727 | 2007-03-14 |
| 1356416010 | Tamar Batia Hirshberg | Nurse Practitioner | Magnet 1 Buckley, New London, CT 06320 | 2006-11-21 |
| 1093712150 | Bruce A Patterson | Nurse Practitioner | 276 Montauk Ave, New London, CT 06320-4727 | 2005-07-05 |
| 1427673870 | Alyson Beth Santaniello | Nurse Practitioner | 107 Newport Rd, New London, NH 03257-5415 | 2020-06-11 |
| 1033731195 | Melissa Hauser | Nurse Practitioner | 1 Shaws Cv, New London, CT 06320-4902 | 2020-05-12 |
| 1346882008 | Megan Metheny | Nurse Practitioner | 2 Shaws Cv, New London, CT 06320-4975 | 2019-10-15 |
| 1982181061 | Megan Anastasia Grimsley | Nurse Practitioner | 600 Peterson Pkwy, New London, MN 56273-7823 | 2018-07-23 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
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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.