STEPHANIE PETTINGLE (NPI# 1205258605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205258605 |
| Entity Type | Individual |
| Full Name | STEPHANIE PETTINGLE |
| Credential | APRN |
| Practice Address |
110 Commerce Dr Shelton CT 06484-6244 |
| Mailing Address |
67 Maple Ave Derby CT 06418-1328 |
| Practice Telephone | 2039297331 |
| Practice Fax Number | 2039250330 |
| Mailing Telephone | 2037321330 |
| Mailing Fax Number | 2037321332 |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2019-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5676 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F338355 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
005676 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 270 Farmington Ave Ste 309, Farmington, CT 060321953 | 8606775570 |
| Street Address |
110 COMMERCE DR |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-6244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871669978 | Elliot K Mathias | Family Medicine | 110 Commerce Dr, Shelton, CT 06484-6244 | 2006-11-28 |
| 1568824589 | Shaun Michael Najarian | Internal Medicine | 110 Commerce Dr, Shelton, CT 06484-6244 | 2016-03-29 |
| 1689058695 | Jennifer Chovitch | Family Medicine | 110 Commerce Dr, Shelton, CT 06484-6244 | 2015-07-20 |
| 1962890681 | Stephanie Marie Decesare | Physician Assistant | 110 Commerce Dr, Shelton, CT 06484-6244 | 2015-01-05 |
| 1225329238 | Elizabeth Arbia | Family Medicine | 110 Commerce Dr, Shelton, CT 06484-6244 | 2011-04-25 |
| 1205074945 | Abraham Fridman | Surgery | 110 Commerce Dr, Shelton, CT 06484-6244 | 2009-02-03 |
| 1821219080 | Patsy Gerckens | Physician Assistant | 110 Commerce Dr, Shelton, CT 06484-6244 | 2007-05-02 |
| 1386700201 | Kenneth Ward | Family Medicine | 110 Commerce Dr, Shelton, CT 06484-6244 | 2006-12-28 |
| 1952467672 | Samuel Streit | Family Medicine | 110 Commerce Dr, Shelton, CT 06484-6244 | 2006-12-28 |
| 1770642100 | Frank Peter Swanson Jr. | Family Medicine | 110 Commerce Dr, Shelton, CT 06484-6244 | 2006-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972140796 | Lindsey Brooke Witham | Nurse Practitioner | 268 Soundview Ave, Shelton, CT 06484-2137 | 2019-12-01 |
| 1699145789 | Christa M Mann | Nurse Practitioner | 119 Richard Blvd, Shelton, CT 06484-4388 | 2015-10-01 |
| 1275939886 | Caitlin Sollitto | Nurse Practitioner | 41 Heather Rdg, Shelton, CT 06484-4684 | 2014-11-09 |
| 1720231020 | Melinda R Wellington | Nurse Practitioner | 10 Progress Drive, Suite 200 Np Care, LLC, Shelton, CT 06484 | 2008-10-30 |
| 1861657850 | Constance Judith-higgins Glenn | Nurse Practitioner | 50 Country Ridge Dr, Shelton, CT 06484-3523 | 2008-07-19 |
| 1285809319 | Jennifer Remigio Mandac | Nurse Practitioner | 10 Progress Drive Suite 200, Np Care LLC, Shelton, CT 06484-6216 | 2008-04-29 |
| 1285821371 | Kateri A Crossley | Nurse Practitioner | 10 Progress Drive, Suite 200, Np Care, LLC, Shelton, CT 06484 | 2007-10-02 |
| 1770647778 | Northwest Resources II | Nurse Practitioner | 325 S 3rd Street, Shelton, WA 98584-1735 | 2006-12-21 |
| 1306849922 | David V Penry | Nurse Practitioner | Np Resources, LLC., Six Corporate Drive, Suite 420, Shelton, CT 06484 | 2005-05-27 |
| 1477556504 | Jean L Caplan | Nurse Practitioner | 6 Corporate Dr, Ste 420, Shelton, CT 06484-6270 | 2005-05-23 |
| Find all providers in SHELTON | ||||
Please comment or provide details below to improve the information on STEPHANIE PETTINGLE.
| 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.