NICOLE JEAN DATOR (NPI# 1285295436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285295436 |
Entity Type | Individual |
Full Name | NICOLE JEAN DATOR |
Credential | DNP, APRN, PMHNP-BC |
Practice Address |
120 Main St Fl 2 Danbury CT 06810-7834 |
Practice Telephone | 2034561412 |
Mailing Telephone | 2034561412 |
Enumeration Date | 2019-06-27 |
Last Update Date | 2019-10-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
008020 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
120 Main St Fl 4, Danbury, CT 068107834 | 2037439760 |
Street Address |
120 MAIN ST FL 2 |
City | DANBURY |
State | CT |
Zip Code | 06810-7834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
Find all providers in zip 06810 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437107075 | Karen Marie Mullaney | Nurse Practitioner | 72 North St Ste 103, Danbury, CT 06810-5653 | 2006-05-05 |
1508419144 | Andrea S Chik | Nurse Practitioner | 75 West St, Danbury, CT 06810-6528 | 2019-07-23 |
1487179032 | Beenu Karun | Nurse Practitioner | 152 West St, Danbury, CT 06810-6361 | 2017-08-04 |
1861940090 | Jessica Ann Mcgroarty | Nurse Practitioner | 84 Hospital Ave, Danbury, CT 06810-6047 | 2016-09-16 |
1154879674 | Allison Hayes | Nurse Practitioner | 84 Hospital Ave, Danbury, CT 06810-6047 | 2016-09-13 |
1811389372 | Elizabeth Kahn | Nurse Practitioner | 24 Hospital Ave, Danbury, CT 06810-6099 | 2015-02-20 |
1407284052 | Marina Melnikov | Nurse Practitioner | 38 Old Ridgebury Rd, Danbury, CT 06810-5128 | 2013-10-17 |
1942637970 | Lisa Cari Vazquez | Nurse Practitioner | 24 Hospital Ave, Danbury, CT 06810-6099 | 2013-10-04 |
1609217058 | Teegan Anne Ogiela | Nurse Practitioner | 24 Hospital Ave, Danbury, CT 06810-6099 | 2013-07-15 |
1720368699 | Devon Peterson Carroll | Nurse Practitioner | 72 West St, Danbury, CT 06810-6531 | 2011-08-24 |
Find all providers in DANBURY |
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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.