MR. NELSON LEACH (NPI# 1194334359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194334359 |
Entity Type | Individual |
Full Name | MR. NELSON LEACH |
Credential | APRN |
Practice Address |
109 Boston Post Rd Orange CT 06477-3235 |
Mailing Address |
793 Post Rd E Ste A204 Westport CT 06880-5243 |
Practice Telephone | 2038743682 |
Enumeration Date | 2020-07-23 |
Last Update Date | 2020-07-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8964 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
109 BOSTON POST RD |
City | ORANGE |
State | CT |
Zip Code | 06477-3235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013943448 | Gary Nicholas Grippo | Podiatrist | 109 Boston Post Rd, Orange, CT 06477-3235 | 2006-06-25 |
1952918542 | Sarah Elizabeth Hill | Physician Assistant | 109 Boston Post Rd, Orange, CT 06477-3235 | 2020-09-28 |
1053894261 | Dental Smiles of Orange LLC | Dentist | 109 Boston Post Rd, Orange, CT 06477-3235 | 2018-09-13 |
1942749304 | Jennifer Cole | Nurse Practitioner | 109 Boston Post Rd, Orange, CT 06477-3235 | 2017-02-18 |
1619427051 | Elisha Hazel | Nutritionist | 109 Boston Post Rd, Orange, CT 06477-3235 | 2016-10-10 |
1881057891 | Renee G Delahaye | Physician Assistant | 109 Boston Post Rd, Orange, CT 06477-3235 | 2016-03-29 |
1972978187 | Darrin Whited | Physician Assistant | 109 Boston Post Rd, Orange, CT 06477-3235 | 2015-12-14 |
1275915779 | Naugatuck Valleyweightloss Center LLC | Family Medicine | 109 Boston Post Rd, Orange, CT 06477-3235 | 2015-06-22 |
1386040186 | Naugatuck Valley Weight Loss Center LLC | Family Medicine | 109 Boston Post Rd, Orange, CT 06477-3235 | 2014-11-06 |
1730464470 | Evergreen Dental LLC | Dentist | 109 Boston Post Rd, Orange, CT 06477-3235 | 2011-10-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881207207 | Kevin Cheung | Registered Nurse | 499 West Campus Drive, Orange, CT 06477 | 2020-08-25 |
1629539051 | Leah Kragh | Occupational Therapist | 308 Racebrook Road, Unit A, Orange, CT 06477 | 2019-03-28 |
1871076315 | Mario Paredes | Physical Therapist | 240 Indian River Rd Ste B7b8, Orange, CT 06477 | 2018-09-11 |
1790201499 | Amy Elise Roth | Speech-Language Pathologist | 308 Racebrook Road, Orange, CT 06477 | 2017-08-15 |
1720435092 | Eric Han | Obstetrics & Gynecology | 100 West Campus Drive, Orange, CT 06477 | 2016-05-17 |
1467838730 | Dr. Margaret Azzarella LLC | Chiropractor | 472 Boston Post Road, Orange, CT 06477 | 2015-08-10 |
1790114866 | The Eye Care Group | Eyewear Supplier (Equipment, not the service) | 250 Indian River Road, Orange, CT 06477 | 2013-11-08 |
1609111814 | Michael L Crane | Counselor | 426 Taulman Rd, Orange, CT 06477 | 2012-11-29 |
1316183726 | Sarah E Halloran | Physician Assistant | 240 Indian River Rd Ste B1, Orange, CT 06477 | 2009-01-07 |
1558482075 | Jasdeep Sidana | Internal Medicine | 521 Boston Post Road, Orange, CT 06477 | 2007-04-02 |
Find all providers in zip 06477 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306452966 | Velvet Maloy | Nurse Practitioner | 1312 County Road 3139, Orange, TX 77632-1633 | 2020-09-18 |
1265048151 | Christina Marie O'guinn | Nurse Practitioner | 2660 N Santiago Blvd # 100, Orange, CA 92867-1859 | 2020-09-16 |
1548871429 | Holley Moreau | Nurse Practitioner | 6136 Crosstimber Dr, Orange, TX 77632-7610 | 2020-08-13 |
1174147581 | Stephanie Michelle Chapman | Nurse Practitioner | 387 N Clark St, Orange, CA 92868-2218 | 2020-06-01 |
1952920621 | Natasha Caruth | Nurse Practitioner | 301 Seven Oaks Way, Orange, NJ 07050-3376 | 2020-04-13 |
1053944488 | Laura Lee Arvizo | Nurse Practitioner | 432 County Road 3139, Orange, TX 77632-1532 | 2020-02-13 |
1447801402 | Joel George Pohorence | Nurse Practitioner | 10080 E Greenwood Dr, Orange, TX 77630-3241 | 2019-09-21 |
1477114122 | Beverley P Brownell | Nurse Practitioner | 1215 E. Chapman Avenue, Orange, CA 92866 | 2019-06-24 |
1568924793 | Denise Giovanazzi Weinberg | Nurse Practitioner | 3215 East Abbey Lane, Orange, CA 92867 | 2019-04-05 |
1033688445 | Tatiana Tumeniuk | Nurse Practitioner | 240 Indian River Rd Ste A5, Orange, CT 06477-3690 | 2018-11-14 |
Find all providers in ORANGE |
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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.