EMILIA VELMA IVANS (NPI# 1174979090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174979090 |
| Entity Type | Individual |
| Full Name | EMILIA VELMA IVANS |
| Credential | PA-C |
| Practice Address |
41 Brewster Rd Bristol CT 06010-5161 |
| Practice Telephone | 8605853333 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 3567 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
3567 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
41 BREWSTER RD |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-5161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004977 | Kara A Lynch | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2005-06-23 |
| 1881294486 | Gretchen Holloway | Nurse Practitioner | 41 Brewster Rd, Bristol, CT 06010-5141 | 2020-11-01 |
| 1275133969 | Bristol Health Pharmacy, LLC | Pharmacy | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-10-30 |
| 1992311195 | Davina Dube | Family Medicine | 41 Brewster Rd, Bristol, CT 06010-5141 | 2020-09-22 |
| 1215549142 | Danielle Sarah Desmarais | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-08-21 |
| 1770192726 | Elina Tannenbaum | Registered Nurse | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-07-27 |
| 1093331670 | Kendra Jade Mcgregor | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5141 | 2020-06-19 |
| 1043832066 | Michael Owen Richards | Internal Medicine | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-05-13 |
| 1093354953 | Erica Stolarz | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5141 | 2019-12-24 |
| 1336703511 | Rachel Driscoll | Dietitian, Registered | 41 Brewster Rd, Bristol, CT 06010-5161 | 2019-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497033252 | Amanda Jean Lutz | Physician Assistant | 335 Radcliffe St, Bristol, PA 19007-5015 | 2011-07-28 |
| 1780846428 | Damon Troy Bartley | Physician Assistant | One Medical Park Blvd, Suite 458w, Bristol, TN 37620 | 2008-06-25 |
| 1215549142 | Danielle Sarah Desmarais | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-08-21 |
| 1093354953 | Erica Stolarz | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5141 | 2019-12-24 |
| 1992348254 | Bethanie Patton | Physician Assistant | 1 Medical Park Blvd Ste 458w, Bristol, TN 37620-7456 | 2019-10-18 |
| 1144773524 | Christopher M Haniford | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2016-08-02 |
| 1912385980 | Alison Joyce | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2015-05-11 |
| 1265824379 | Joseph Ambrogio | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2015-02-26 |
| 1104228022 | Christopher Tagliavini | Physician Assistant | 22 Pine St, Bristol, CT 06010-6948 | 2014-09-23 |
| 1265831093 | Dena A. Skowronski | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2014-08-18 |
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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.