MISS THERESA EILEEN WILD (NPI# 1285853101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285853101 |
| Entity Type | Individual |
| Full Name | MISS THERESA EILEEN WILD |
| Credential | RN |
| Practice Address |
440 N Main St # C Bristol CT 06010-4990 |
| Mailing Address |
Po Box 1280 Bristol CT 06011-1280 |
| Practice Telephone | 8605835858 |
| Practice Fax Number | 8605849962 |
| Mailing Telephone | 8605835858 |
| Mailing Fax Number | 8605849962 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
E57029 | CT | Nursing Service Providers |
| Street Address |
440 N MAIN ST # C |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-4990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891889184 | Catholic Charities, Inc. - Archdiocese of Hartford | Clinic/Center | 440 N Main St # C, Bristol, CT 06010-4990 | 2006-10-03 |
| 1447478656 | Rebecca Colasanto | Social Worker | 440 N Main St # C, Bristol, CT 06010-4990 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750850467 | Julio Angel Sanchez | Registered Nurse | 10 N Main St, Bristol, CT 06010-8122 | 2018-11-26 |
| 1306047147 | Robin Suplinskas | Registered Nurse | 440 N Main St, Bristol, CT 06010-4990 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922642966 | Joel A Tudisco | Registered Nurse | 65 Warren St Apt 1, New London, CT 06320-2732 | 2019-11-02 |
| 1093363301 | Emina Efendic | Registered Nurse | 102 Folly Brook Blvd Apt 4, Wethersfield, CT 06109-4515 | 2019-08-29 |
| 1871082032 | Lynne Severance | Registered Nurse | 121 Highland Ave, Hamden, CT 06518 | 2018-05-03 |
| 1053819292 | Stephanie Sloan | Registered Nurse | 627 Norwick New London Turnpike, Uncasville, CT 06382-2122 | 2018-01-23 |
| 1609301910 | Phillip Jones | Registered Nurse | 33 Canner St, Apt 2, New Haven, CT 06511-2503 | 2017-04-24 |
| 1538600051 | Doris Lippman | Registered Nurse | 18 Sylvan Road South, Westport, CT 06880 | 2017-03-16 |
| 1649307778 | Jana D. Weiss Wuerth | Registered Nurse | 2 Graves Ave, Suite A, Guilford, CT 06437-2626 | 2007-02-27 |
| 1831262179 | Tera L Gahlsdorf | Registered Nurse | 780 Summer St, Stamford, CT 06901-1089 | 2006-11-16 |
| 1902988223 | Donna B Augusto | Registered Nurse | 400 Bayonet St Suite 304, New London, CT 06320 | 2006-10-19 |
| 1427140243 | Barbara Ellen Peluse | Registered Nurse | Vact Healthcare System, 950 Campbell Ave, West Haven, CT 06516 | 2006-09-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MISS THERESA EILEEN WILD.
| 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.