RACHEL FORTUNE (NPI# 1184779555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184779555 |
Entity Type | Individual |
Full Name | RACHEL FORTUNE |
Credential | MD |
Practice Address |
64 Double Hill Rd Bethlehem CT 06751-1101 |
Mailing Address |
16 Richard Sweet Dr Woodbridge CT 06525-1126 |
Practice Telephone | 3038548888 |
Mailing Telephone | 3038548888 |
Enumeration Date | 2007-01-24 |
Last Update Date | 2014-07-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
51267 | CT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 49437518 | 05 |
Street Address |
64 DOUBLE HILL RD |
City | BETHLEHEM |
State | CT |
Zip Code | 06751-1101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487609921 | Cathy Hulbert Laney | Nurse Practitioner | 64 Double Hill Rd, Bethlehem, CT 06751-1101 | 2006-05-23 |
1528502853 | Jennifer Nolan | Nurse Practitioner | 64 Double Hill Rd, Bethlehem, CT 06715 | 2016-12-06 |
1548630072 | Samantha Ines Savarino | Nurse Practitioner | 64 Double Hill Rd, Bethlehem, CT 06751-1101 | 2015-09-26 |
1508195959 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 64 Double Hill Rd, Bethlehem, CT 06751 | 2009-12-14 |
1629271119 | Erin Rauscher | Nurse Practitioner | 64 Double Hill Rd, Bethlehem, CT 06751-1101 | 2007-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578123436 | Towne Apothecary LLC | Pharmacy | 95 Main St South, Bethlehem, CT 06751 | 2019-06-13 |
1780031476 | Margaret Biggart | Counselor | 98 Todd Hill Rd, Bethlehem, CT 06751 | 2016-05-23 |
1538590922 | Holly Andrea Leever | Acupuncturist | 381 Guilds Hollow Rd, Bethlehem, CT 06751 | 2013-12-10 |
1932105293 | Bethlehem Ambulance Association Inc | Ambulance | Main St South, Bethlehem, CT 06751 | 2005-06-22 |
1922351667 | Catherine Nagle | Counselor | 21 Arch Bridge Rd, Bethlehem, CT 06751 | 2012-10-18 |
1154475184 | The Wellspring Foundation, Inc. | Clinic/Center | 21 Arch Bridge Rd., Bethlehem, CT 06751-0370 | 2007-01-23 |
1962575407 | Andrew C. Wells | Family Medicine | 22east St, Bethlehem, CT 06751-0490 | 2006-11-15 |
1407417124 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 98 Todd Hill Rd, Bethlehem, CT 06751-1018 | 2019-06-24 |
1952600595 | James M. Lee | Dentist | 366 Munger Lane, Bethlehem, CT 06751-1100 | 2011-03-22 |
1053825067 | Jennifer Detlefsen | Specialist/Technologist | 57 Long Meadow Rd, Bethlehem, CT 06751-1116 | 2017-11-29 |
Find all providers in zip 06751 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285691899 | Jorge A Otero | Pediatrics | 2223 Linden St, Bethlehem, PA 18017-4806 | 2006-04-27 |
1861501496 | Maria Antonia Ramos | Pediatrics | 2223 Linden St, Bethlehem, PA 18017-4806 | 2006-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780246306 | Pediatric Health Associates of Coneecticut, LLC | Pediatrics | 239 Silas Deane Hwy, Wethersfield, CT 06109-1730 | 2019-07-03 |
1073943668 | Pediatric Walk In Care LLC | Pediatrics | 141 B Hazard Avenue, Enfield, CT 06082-5412 | 2013-11-18 |
1225319445 | Enfield Pediatric Associates,p.c. | Pediatrics | 155 Hazard Ave Ste 14, Enfield, CT 06082-4586 | 2011-09-01 |
1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
1326166125 | Mary A. Simon | Pediatrics | 7 Melrose Dr, Farmington, CT 06032-0893 | 2007-03-27 |
1376678516 | Sydney Zane Spiesel | Pediatrics | 8 Lunar Dr, Woodbridge, CT 06525-2352 | 2007-02-21 |
1649314279 | Charles Ray Jones | Pediatrics | 111 Park St Ste F, New Haven, CT 06511-5412 | 2007-02-16 |
1427110469 | Radhika Malhotra | Pediatrics | 100 Bank St, Suite 307, Seymour, CT 06483-2806 | 2006-12-15 |
1386704682 | Andrews Adu Adade | Pediatrics | 18 Hillandale Ave, Stamford, CT 06902-2808 | 2006-12-11 |
1982706032 | John Gerald Pitegoff | Pediatrics | 1225 Silver St, Middletown, CT 06457-3920 | 2006-09-01 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on RACHEL FORTUNE.
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.