ELIANE PROVENCHER (NPI# 1174951636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174951636 |
| Entity Type | Individual |
| Full Name | ELIANE PROVENCHER |
| Credential | NHP-BC |
| Practice Address |
345 N Main St Neiha West Hartford CT 06117-2515 |
| Mailing Address |
21 Rockwell Rd Stafford Springs CT 06076-4513 |
| Practice Telephone | 8605471489 |
| Mailing Telephone | 8608888613 |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2013-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
RND20007152 | NV | Dietary & Nutritional Service Providers |
| Street Address |
345 N MAIN ST NEIHA |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987789 | Moshe Laub | Chiropractor | 345 N Main St, Suite 322, West Hartford, CT 06117-2515 | 2005-07-29 |
| 1699290312 | Amanda Zapka Silverman | Nurse Practitioner | 345 N Main St, West Hartford, CT 06117-2515 | 2017-08-03 |
| 1003274556 | Erin Hannan | Nurse Practitioner | 345 N Main St, Suite 248, West Hartford, CT 06117-2515 | 2016-01-28 |
| 1073981841 | Kelly Ann Riggieri | Nurse Practitioner | 345 N Main St, Suite 245, West Hartford, CT 06117-2515 | 2015-09-09 |
| 1679989792 | Konstantia E Papapateras | Dietitian, Registered | 345 N Main St, West Hartford, CT 06117-2515 | 2014-07-09 |
| 1205249604 | Gina Payne | Marriage & Family Therapist | 345 N Main St, Suite 306, West Hartford, CT 06117-2515 | 2014-06-04 |
| 1447512017 | Rachel Billstrom Nelson | Obstetrics & Gynecology | 345 N Main St, Suite 201, West Hartford, CT 06117-2515 | 2012-06-11 |
| 1992073928 | The Next Right Thing | Counselor | 345 N Main St, Suite 306, West Hartford, CT 06117-2515 | 2011-12-05 |
| 1083992481 | Trinh Tu Tran | Physician Assistant | 345 N Main St, Suite 200, West Hartford, CT 06117-2515 | 2011-08-02 |
| 1629378443 | Anita Tu Tran | Physician Assistant | 345 N Main St, Suite 200, West Hartford, CT 06117-2515 | 2010-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154817237 | Mmp Therapy and Consulting | Community/Behavioral Health | 2475 Albany Avenue, West Hartford, CT 06117 | 2018-07-02 |
| 1669856555 | Noah Joseph Bluestone | Psychologist | 68 Soutth Main St, Suite 202, West Hartford, CT 06117 | 2015-07-10 |
| 1487040747 | Nancy Cabelus | Registered Nurse | 1678 Asylum Ave. Room 317, University of St. Joseph, West Hartford, CT 06117 | 2015-04-13 |
| 1124384276 | Louis Brown | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 164 Orchard Rd, West Hartford, CT 06117 | 2012-04-03 |
| 1720282882 | Ruth Kahn | Psychologist | 54 Mountain Brook Road, West Hartford, CT 06117 | 2007-06-13 |
| 1437370426 | Dana Orthodontics PC | Dentist | 2446 Albany Avenue, West Hartford, CT 06117 | 2007-05-01 |
| 1972723146 | Michelle Payson | Occupational Therapist | One Abrahms Boulevard, West Hartford, CT 06117 | 2007-04-27 |
| 1457579583 | Kathy A Mccloskey | Psychologist | 200 Bloomfield Avenue, University of Hartford, West Hartford, CT 06117 | 2007-04-23 |
| 1427181585 | Nancy L White | Naturopath | 10 Crossroads Plaza, West Hartford, CT 06117 | 2007-03-14 |
| 1689743452 | August C Olivar | Obstetrics & Gynecology | 2437 Albany Avenue, Suite 202, West Hartford, CT 06117 | 2006-11-07 |
| Find all providers in zip 06117 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053895714 | Caitlin Blake | Nutritionist | 220 Main St S Ste 207, Southbury, CT 06488-2275 | 2018-09-19 |
| 1710484217 | Chelsea Marie Oarr | Nutritionist | 238 Weaver St, Greenwich, CT 06831-4256 | 2018-04-11 |
| 1659730026 | Natural Living, LLC | Nutritionist | 150 New Haven Ave, Milford, CT 06460-4827 | 2016-02-15 |
| 1013318096 | Deborah Kennedy Doucette | Nutritionist | 130 Weatherly Trl, Guilford, CT 06437-1203 | 2014-09-10 |
| 1508272659 | Charlotte Couch | Nutritionist | 99 Trebbe Dr, Manchester, CT 06040-2620 | 2014-07-09 |
| 1255773636 | Nourish & Renew | Nutritionist | 8 Hebron Road, 2nd Floor, Oneida Holistic Health Center, Marlborough, CT 06447-1272 | 2013-07-25 |
| 1811339625 | Michele Marie Schavoir | Nutritionist | 22 Little Point St, Essex, CT 06426-1027 | 2013-07-22 |
| 1861768889 | Mireille Blacke | Nutritionist | 6122 Town Rdg, Middletown, CT 06457-6551 | 2012-03-23 |
| 1598059297 | Dorette F Lewis-senior | Nutritionist | 239 Plattsville Rd, Trumbull, CT 06611-3427 | 2011-05-31 |
| 1831419373 | Lucinda Maria Balsome | Nutritionist | 62 Kelsey Ln, Glastonbury, CT 06033-5015 | 2010-06-07 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06117 |
Please comment or provide details below to improve the information on ELIANE PROVENCHER.
| 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.