CARLA JACOBSON-KIEL (NPI# 1235137316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235137316 |
| Entity Type | Individual |
| Full Name | CARLA JACOBSON-KIEL |
| Credential | MD |
| Practice Address |
114 Woodland St Nicu Hartford CT 06105-1208 |
| Mailing Address |
1000 Asylum Ave Suite 2109a Hartford CT 06105-1770 |
| Practice Telephone | 8607144404 |
| Practice Fax Number | 8607148054 |
| Mailing Telephone | 8607146581 |
| Mailing Fax Number | 8607148311 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2009-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
028314 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001283142 | 05 |
| Street Address |
114 WOODLAND ST NICU |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334207 | Richard Soucier | Internal Medicine | 114 Woodland St, Hartford, CT 06105-1208 | 2005-05-23 |
| 1003425745 | Brooke M P Chaves | Nurse Practitioner | 114 Woodland St, Hartford, CT 06105-1208 | 2020-07-29 |
| 1215545793 | Xuanthao Nguyen | Nurse Practitioner | 114 Woodland St, Hartford, CT 06105-1208 | 2020-07-21 |
| 1053939231 | Daniel Guilmette | Nurse Anesthetist, Certified Registered | 114 Woodland St, Hartford, CT 06105-1208 | 2020-07-14 |
| 1598383556 | Sarah Beth Flynn-savoie | Nurse Practitioner | 114 Woodland St, Hartford, CT 06105-1208 | 2020-07-07 |
| 1215550215 | Rachael Barber | Speech-Language Pathologist | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-26 |
| 1407479595 | Erin Michelle Sullivan | Physician Assistant | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-22 |
| 1831712256 | Hospitalist Medicine Physicians of Connecticut - Tcs, LLC | Family Medicine | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-20 |
| 1164044947 | Marena Josephine Harrison | Physician Assistant | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-14 |
| 1477175776 | David Neubauer | Physician Assistant | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 |
|---|---|---|---|---|
| 1881696367 | Marilyn R Sanders | Pediatrics | 282 Washington, Hartford, CT 06106 | 2005-08-15 |
| 1154503407 | Jennifer Margaret Trzaski | Pediatrics | 282 Washington St, Ccmc Division of Neonatology, Hartford, CT 06106-3322 | 2007-11-28 |
| 1790715449 | Shabnam Lainwala | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2006-07-04 |
| 1437100542 | James E Moore | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2006-05-13 |
| 1518933845 | Leslie Wolkoff | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2006-02-27 |
| 1437124971 | Adam Matson | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2006-02-20 |
| 1063487510 | Kathleen Marinelli | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2006-02-20 |
| 1003880311 | James Hagadorn | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2006-02-14 |
| 1649243379 | Leonard Eisenfeld | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2006-02-13 |
| 1801860432 | Victor Herson | Pediatrics | 282 Washington St, Hartford, CT 06106-3322 | 2006-02-13 |
| Find all providers in HARTFORD | ||||
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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.