KATHRYN SULLIVAN MITRA (NPI# 1255598629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255598629 |
| Entity Type | Individual |
| Full Name | KATHRYN SULLIVAN MITRA |
| Credential | ACNP-BC |
| Practice Address |
29 Hospital Plz Ste 501 Stamford CT 06902-3602 |
| Mailing Address |
41 Bellain Ave Harrison NY 10528-3009 |
| Practice Telephone | 2032762321 |
| Mailing Telephone | 6462341788 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 530419 | NY | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
005244 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
430397 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2800 Main St, Icu, Bridgeport, CT 066064201 | 2035765157 | |
| 1 Omega Dr, Stamford, CT 069072336 | 2032767447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528055605 | Kathryn E. Mitra | Physician Assistant | 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 | 2005-10-04 |
| Street Address |
29 HOSPITAL PLZ STE 501 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609806124 | David Yuh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 29 Hospital Plz Ste 501, Stamford, CT 06902-3602 | 2006-07-03 |
| 1699909580 | Joshua Michael Lader | Internal Medicine | 29 Hospital Plz Ste 501, Stamford, CT 06902 | 2009-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114417847 | Jennifer Lynn Trocola | Nurse Practitioner | 63 Myano Ln Apt 6, Stamford, CT 06902-4500 | 2018-05-17 |
| 1013326867 | Jennifer Lynn Teichman | Nurse Practitioner | One Hospital Plaza, Stamford, CT 06904-9317 | 2014-08-06 |
| 1790101269 | Donna Elizabeth O'hara | Nurse Practitioner | One Hospital Plaza, Stamford, CT 06904 | 2014-03-08 |
| 1477798973 | Lindsay Burke Naughton | Nurse Practitioner | 34 Shelburne Rd, Stamford, CT 06902-3523 | 2008-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004469 | Joseph A Sarkis | Nurse Practitioner | 34 Blackwells Lndg, Brooklyn, CT 06234-2444 | 2020-05-15 |
| 1720543960 | Lia Sgambato | Nurse Practitioner | 263 Farmington Ave # 2875, Farmington, CT 06030-0001 | 2019-02-01 |
| 1588136295 | Tao Wang | Nurse Practitioner | 38 Michele Dr, Portland, CT 06480-1013 | 2018-12-19 |
| 1386178093 | Janine Brooks | Nurse Practitioner | 47 Elmridge Rd, Pawcatuck, CT 06379-1234 | 2017-04-19 |
| 1639622962 | Joshua N Alderman | Nurse Practitioner | 353 Main St Ste 2, Manchester, CT 06040-4145 | 2016-08-03 |
| 1508224437 | Sheldon Leigh Stock | Nurse Practitioner | 701 Cottage Grove Rd Ste B220, Bloomfield, CT 06002-3077 | 2016-02-06 |
| 1548636673 | Cheryl Pappas | Nurse Practitioner | 111 Salem Tpke Ste 8, Norwich, CT 06360-7403 | 2015-08-12 |
| 1265780894 | Annetta Ruth Troche | Nurse Practitioner | 22 Parkwood Drive, Windsor, CT 06095 | 2012-08-29 |
| 1609122787 | Jaimme Lee Franson | Nurse Practitioner | 324 Elm St Suite 202b, Monroe, CT 06468 | 2012-07-26 |
| 1598065245 | Brandy R Stepney | Nurse Practitioner | 51 Commercial Blvd, Torrington, CT 06790-3097 | 2010-10-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KATHRYN SULLIVAN MITRA.
| 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.