MARY JANE DREWA TOWER (NPI# 1235245838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235245838 |
| Entity Type | Individual |
| Full Name | MARY JANE DREWA TOWER |
| Credential | APRN |
| Practice Address |
111 Salem Turnpike Backus Outpatient Care Center Norwich CT 06360 |
| Mailing Address |
111 Salem Turnpike Norwich CT 06360 |
| Practice Telephone | 8608898331 |
| Mailing Telephone | 8608898331 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 001964 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CONNECTICARE | 1964 | 01 | |
| ANTHEM BCBS | 40000196CT01 | 01 | |
| HEALTHNET | 2V5163 | 01 | |
| TRI CARE | 44508328 | 01 |
| Street Address |
111 SALEM TURNPIKE BACKUS OUTPATIENT CARE CENTER |
| City | NORWICH |
| State | CT |
| Zip Code | 06360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518239581 | Jacqueline E Baumgartner | Physician Assistant | 111 Salem Turnpike, Suite 7, Norwich, CT 06360-3442 | 2012-02-06 |
| 1851460067 | Joan Sommers | Dietitian, Registered | 111 Salem Turnpike, Backus Outpatient Care Center, Norwich, CT 06360 | 2006-11-06 |
| 1386751923 | Sandeep Varma | Internal Medicine | 111 Salem Turnpike, Backus Outpatient Care Center, Norwich, CT 06360 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598074924 | Morag Elizabeth Paget Macdonald | Nurse Practitioner | 401 W. Thames St. Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2010-10-04 |
| 1831230119 | Donna M Civardi | Nurse Practitioner | 223 W Town St, Norwich, CT 06360-2130 | 2007-02-09 |
| 1942394408 | Sandra S Kress | Nurse Practitioner | 17 Case Street, Norwich, CT 06360 | 2006-10-02 |
| 1851368393 | Elizabeth Lynn Evans | Nurse Practitioner | 113 Salem Tpke Ste 1, Norwich, CT 06360-6484 | 2006-03-03 |
| 1972121630 | Paul Thomas Fidrych | Nurse Practitioner | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2020-07-09 |
| 1922651264 | Lauren Ashley Maxeiner | Nurse Practitioner | 27 Lafayette St, Norwich, CT 06360-3407 | 2019-07-16 |
| 1295121135 | Dawn E. Lee | Nurse Practitioner | 401 W Thames St, Building 301, Norwich, CT 06360-7151 | 2015-04-07 |
| 1952700197 | Maura Theresa Forte | Nurse Practitioner | 330 Washington St, Suite 510, Norwich, CT 06360-2700 | 2014-08-13 |
| 1396151858 | Kristen Farrell | Nurse Practitioner | 79 Wawecus St, Ste. 101, Norwich, CT 06360-2173 | 2014-07-05 |
| 1316299704 | Julie Martin | Nurse Practitioner | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2012-10-09 |
| Find all providers in NORWICH | ||||
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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.