LAURA KISSANE (NPI# 1174967186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174967186 |
| Entity Type | Individual |
| Full Name | LAURA KISSANE |
| Credential | PA-C |
| Practice Address |
64 Robbins St Waterbury CT 06708-2613 |
| Mailing Address |
630 Plantation St Wot 12th Fl Worcester MA 01605-2038 |
| Practice Telephone | 2035736000 |
| Mailing Telephone | 7742611379 |
| Mailing Fax Number | 7742215136 |
| Enumeration Date | 2013-04-21 |
| Last Update Date | 2015-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
002905 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
64 ROBBINS ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598755753 | Robert E Murray IIi | Emergency Medicine | 64 Robbins St, Waterbury, CT 06708-2613 | 2005-10-27 |
| 1306456116 | Christine Zarrella Cipriani | Registered Nurse | 64 Robbins St, Waterbury, CT 06708-2600 | 2020-08-06 |
| 1386261949 | Dorothy Sliwonik | Nurse Anesthetist, Certified Registered | 64 Robbins St, Waterbury, CT 06708-2613 | 2020-06-30 |
| 1154951341 | Christina Devi Drelichowski | Emergency Medicine | 64 Robbins St, Waterbury, CT 06708-2600 | 2020-01-16 |
| 1356818421 | Olanike Oyeyemi Idowu | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-10-26 |
| 1881172500 | Elizabeth Ann Lawton | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-08-03 |
| 1578041430 | Kerry Petrello | Registered Nurse | 64 Robbins St, Waterbury, CT 06708 | 2018-08-02 |
| 1245721091 | Eric M Mukherjee | Student in an Organized Health Care Education/Training Program | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-05-27 |
| 1225528870 | Stephanie Lauren Gunpat | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-05-18 |
| 1265921399 | Andrea Lynne Grammatico | Physician Assistant | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144505538 | Amanda Maria Delcavo | Physician Assistant | 50 Franklin Street, Waterbury, CT 06706 | 2011-10-17 |
| 1205479201 | Caroline Mroz | Physician Assistant | 500 Chase Pkwy, Waterbury, CT 06708-3346 | 2019-10-22 |
| 1720457831 | Kristin Zaksewicz | Physician Assistant | 64 Robbins St, Waterbury, CT 06708-2613 | 2015-09-18 |
| 1316340797 | Christina Gugliotti | Physician Assistant | 500 Chase Pkwy, Suite 2b, Waterbury, CT 06708-3346 | 2014-09-30 |
| 1417296518 | Ashley Lauren Hill | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2013-02-08 |
| 1790055168 | Philip K Nelson | Physician Assistant | 500 Chase Pkwy, Waterbury, CT 06708-3346 | 2012-01-03 |
| 1518277920 | Stephanie E Beierle | Physician Assistant | 500 Chase Pkwy, Waterbury, CT 06708-3346 | 2010-10-19 |
| 1386975571 | Nicholas Bonomo | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2010-01-27 |
| 1407184138 | Michael C Turk | Physician Assistant | 64 Robbins St, Waterbury, CT 06708-2613 | 2009-11-18 |
| 1326286055 | Suehadee Jimenez | Physician Assistant | 500 Chase Pkwy, Suite 2a, Waterbury, CT 06708-3346 | 2009-02-03 |
| Find all providers in WATERBURY | ||||
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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.