JENNIFER PROUDMAN BURKE (NPI# 1306138987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306138987 |
| Entity Type | Individual |
| Full Name | JENNIFER PROUDMAN BURKE |
| Credential | RPH |
| Practice Address |
200 New Hartford Rd Box 10 Winsted CT 06098-3373 |
| Practice Telephone | 8603795436 |
| Practice Fax Number | 8603791971 |
| Mailing Telephone | 8603795436 |
| Mailing Fax Number | 8603791971 |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 7976 | CT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083034 | Jennifer Anne Burke | Nurse Practitioner | 1801 Se Hillmoor Dr # 108, Port Saint Lucie, FL 34952-7553 | 2017-10-11 |
| 1689962748 | Jennifer Kathleen Burke | Optometrist | 4175 S Grand Canyon Dr Ste 105, Las Vegas, NV 89147-7155 | 2011-07-11 |
| 1295963890 | Jennifer Lyn Burke | Speech-Language Pathologist | 2300 English Rd, Rochester, NY 14616-1682 | 2009-06-23 |
| 1477705366 | Jennifer Lynn Burke | Physical Therapist | 35 Vista Dr, Saratoga Springs, NY 12866-8773 | 2008-10-22 |
| 1215073002 | Jennifer Cathy Burke | Counselor | 230 Maple St Ste B1, Holyoke, MA 01040-5143 | 2007-01-29 |
| 1912070913 | Jennifer Jean Burke | Counselor | 954 Whittier Highway, Moultonborough, NH 03254 | 2006-11-16 |
| 1346267275 | Jennifer Burke | Physician Assistant | 211 N Main St Ste 203, Cape May Court House, NJ 08210-2163 | 2006-07-16 |
| 1609356690 | Jennifer Caitlin Burke | Case Manager/Care Coordinator | 10700 Sw Beaverton Hillsdale Hwy Ste 11, Beaverton, OR 97005-3035 | 2018-08-19 |
| 1760972160 | Jennifer L Burke | Counselor | 149 N Main Street, Phoenix, OR 97535 | 2018-05-11 |
| 1073013348 | Jennifer Leigh Burke | Dentist | 103 Broad St Sw, Atlanta, GA 30303 | 2018-02-13 |
| Street Address |
200 NEW HARTFORD RD BOX 10 |
| City | WINSTED |
| State | CT |
| Zip Code | 06098-3373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497787360 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 200 New Hartford Rd, Winsted, CT 06098-3373 | 2006-07-07 |
| 1245795673 | Andaleeb Shariff | Family Medicine | 200 New Hartford Rd, Winsted, CT 06098-3373 | 2019-02-11 |
| 1588187348 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 200 New Hartford Rd, Winsted, CT 06098 | 2017-07-24 |
| 1174052385 | Katherine Condon Messier | Pharmacist | 200 New Hartford Rd, Winsted, CT 06098-3373 | 2017-06-09 |
| 1003344029 | Nadjat Benhalima | Pharmacist | 200 New Hartford Rd, Winsted, CT 06098-3373 | 2017-06-03 |
| 1093909871 | David R Lawrence Md LLC | Internal Medicine | 200 New Hartford Rd, Winsted, CT 06098 | 2007-09-05 |
| 1306852736 | David Robert Lawrence | Internal Medicine | 200 New Hartford Rd, Winsted, CT 06098 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548354012 | William P Ryan | Dentist | 10 Hinsdale Ave, Winsted, CT 06098 | 2006-10-02 |
| 1417966078 | Mark E Stefanov | Dentist | 17 Union St, Winsted, CT 06098 | 2006-08-05 |
| 1154354256 | Theodore Francis Marolda | Dentist | 16 Hinsdale Ave, Winsted, CT 06098 | 2006-07-09 |
| 1407354095 | Northwestern Dental | Dentist | 101 North Main Street, Winsted, CT 06098 | 2018-01-29 |
| 1487792305 | Kim Marie Wasko | Dentist | 140 Willow St, Ste 2, Winsted, CT 06098 | 2007-02-02 |
| 1053374348 | Carol Hahn | Physical Therapist | 115 Spencer St, Winsted, CT 06098 | 2006-04-09 |
| 1245396282 | Ruth P Lallier | Social Worker | 214 Wallens Hill, Winsted, CT 06098-0098 | 2006-12-27 |
| 1720557820 | Dana M Oakes-sand | Doula | 25 Coe St, Winsted, CT 06098-1003 | 2018-11-19 |
| 1316403892 | Brendan Stack | Counselor | 5 Brookside Ave # 2, Winsted, CT 06098-1101 | 2019-02-20 |
| 1699863829 | Linda T Schroeder | Counselor | 15 Spencer St, Winsted, CT 06098-1113 | 2006-10-11 |
| Find all providers in zip 06098 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376833202 | Janelle Lazzaro | Pharmacist | 104 Sucker Brook Rd, Winsted, CT 06098-2917 | 2011-04-12 |
| 1982751996 | John Philip Parisi | Pharmacist | 104 Old Colebrook Rd, Winsted, CT 06098-2226 | 2007-01-04 |
| 1851391452 | Ivery & Dudley Pharmacy Inc | Pharmacist | 118 Main St, Winsted, CT 06098-1713 | 2005-07-26 |
| 1316545643 | Brandon Mork | Pharmacist | 150 Main Ave W, Winsted, MN 55395-7872 | 2020-10-09 |
| 1558975748 | Lori Lee Bittel | Pharmacist | 294 Main St, Winsted, CT 06098-1688 | 2020-09-03 |
| 1720556459 | Deborah Keaveny | Pharmacist | 150 Main Ave W, Winsted, MN 55395-7872 | 2018-11-12 |
| 1174052385 | Katherine Condon Messier | Pharmacist | 200 New Hartford Rd, Winsted, CT 06098-3373 | 2017-06-09 |
| 1003344029 | Nadjat Benhalima | Pharmacist | 200 New Hartford Rd, Winsted, CT 06098-3373 | 2017-06-03 |
| 1376077412 | Sarah Alden Fisher | Pharmacist | 47 Main St, Winsted, CT 06098-1703 | 2017-04-15 |
| 1356704514 | Mark Croce | Pharmacist | 47 Main St, Winsted, CT 06098-1703 | 2016-04-04 |
| Find all providers in WINSTED | ||||
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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.