TERANCE A ANDERSON (NPI# 1306409222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306409222 |
| Entity Type | Individual |
| Full Name | TERANCE A ANDERSON |
| Credential | APRN |
| Practice Address |
20 York Street, Cb-2041 New Haven CT 06510-3220 |
| Mailing Address |
78 W Easton St Hamden CT 06514-5021 |
| Practice Telephone | 2036884748 |
| Practice Fax Number | 2036884740 |
| Mailing Telephone | 2036872084 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
8152 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 78 W Easton St, Hamden, CT 065145021 | 2036872084 |
| Street Address |
20 YORK STREET, CB-2041 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821090507 | Robin Lee Phillips | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2005-08-12 |
| 1649818634 | Florence Jiyoung Ahn | Physician Assistant | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-12-20 |
| 1083265300 | Kristina Anello | Physician Assistant | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-09-27 |
| 1649827676 | Melissa Ann Meyer | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-08-23 |
| 1861953499 | Daniel Le | Physician Assistant | 20 York Street, Cb-2041, New Haven, CT 06510 | 2019-03-27 |
| 1144787631 | Rebecca Mccurdy | Physician Assistant | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-02-21 |
| 1477019651 | Danielle Renee Lockwood | Physician Assistant | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-02-13 |
| 1194299180 | Pamela D'amico | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510 | 2019-01-14 |
| 1790250090 | Elise Bishop-rimmer | Physician Assistant | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2018-10-12 |
| 1598249666 | Alexis Star Points | Registered Nurse | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2018-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730667270 | Michael Riley Levien | Nurse Practitioner | 874 Howard Ave, New Haven, CT 06519-1106 | 2018-08-06 |
| 1972098762 | Hung Le | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510 | 2018-06-25 |
| 1295286110 | Qian Zeng | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2016-10-14 |
| 1922463835 | Thao T Nguyen | Nurse Practitioner | 874 Howard Ave, Basement - Room 007, New Haven, CT 06519-1106 | 2015-12-18 |
| 1982072591 | Shannon P Kukulka | Nurse Practitioner | 874 Howard Ave, New Haven, CT 06519-1106 | 2015-09-14 |
| 1669853800 | Jamie Stone Feingold | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2015-06-13 |
| 1134535859 | Rachel M Pisani | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2014-07-02 |
| 1023223633 | Innovative Health Concepts | Nurse Practitioner | 1201 Daly Dr, New Haven, IN 46774-1891 | 2007-05-14 |
| 1962471342 | Zina I Crescenzi | Nurse Practitioner | 1450 Chapel Street, New Haven, CT 06511 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1427689660 | Sajini M Roy | Nurse Practitioner | 172 Guinea Rd, Monroe, CT 06468-1044 | 2020-01-27 |
| 1073171393 | Sabine Donato Dabady | Nurse Practitioner | 287 Capitol Ave, Waterbury, CT 06705-2407 | 2019-06-01 |
| 1720599541 | Sherifa Bello | Nurse Practitioner | 1333 Burnside Ave Apt A3, East Hartford, CT 06108-1517 | 2017-10-19 |
| 1750808994 | Ronald S. Perpetua | Nurse Practitioner | 107 Bassett Rd, North Haven, CT 06473-1902 | 2017-08-28 |
| 1891247805 | Campbell Medical Care, LLC | Nurse Practitioner | 22 Parkwood Dr, Windsor, CT 06095-3142 | 2016-10-26 |
| 1861745259 | Marguerite Kalowsky Benoit | Nurse Practitioner | 187 Bouton St W, Stamford, CT 06907-1320 | 2012-10-22 |
| 1396977997 | Debra Innes Coyle | Nurse Practitioner | 85 Huckleberry Ln, Southington, CT 06489-4319 | 2009-08-14 |
| 1487727228 | Leeanne E Shaw-quinn | Nurse Practitioner | 30 Hyde Ave Ste 109, Vernon, CT 06066-4503 | 2006-11-17 |
| 1184648925 | Karen S Williams | Nurse Practitioner | 25 Witch Meadow Rd, Salem, CT 06420-3602 | 2006-07-26 |
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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.