MRS. PAMELA SIEBER KOLP (NPI# 1326130766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326130766 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA SIEBER KOLP |
| Credential | APRN |
| Practice Address |
92 New London Tpke Norwich CT 06360 |
| Practice Telephone | 8608893835 |
| Practice Fax Number | 8608231782 |
| Mailing Telephone | 8608893835 |
| Mailing Fax Number | 8608231782 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
002594 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUECARE FAMILY PLAN | 230002594CT01 | 01 | |
| HEALTHNET | 2V6555 | 01 | |
| HUSKY B | 230002594CT01 | 01 | |
| CONNECTICARE | 259400 | 01 | |
| ANTHEM BLUE CROSS | 400002594CT01 | 01 |
| Street Address |
92 NEW LONDON TPKE |
| City | NORWICH |
| State | CT |
| Zip Code | 06360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881786226 | Timothy Joseph Sullivan | Pediatrics | 92 New London Tpke, Norwich, CT 06360 | 2006-09-29 |
| 1861808123 | Caitlin Paul | Registered Nurse | 92 New London Tpke, Norwich, CT 06360-2616 | 2014-07-08 |
| 1487917985 | Kaitlyn Spychala Rinaldi | Pediatrics | 92 New London Tpke, Norwich, CT 06360-2616 | 2012-06-19 |
| 1134329485 | Norwich Pediatric Group, P.C. | Pediatrics | 92 New London Tpke, Norwich, CT 06360-2637 | 2007-07-24 |
| 1699867036 | Richard Warren Geller | Pediatrics | 92 New London Tpke, Norwich, CT 06360 | 2006-09-29 |
| 1144312588 | Nancy Kane Cusmano | Pediatrics | 92 New London Tpke, Norwich, CT 06360 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447878855 | Ashley Elusma | Nurse Practitioner | 92 New London Tpke # 1, Norwich, CT 06360-2616 | 2020-07-13 |
| 1235221672 | Alicia S Walsh | Nurse Practitioner | 92 New London Turnpike, Norwich, CT 06360 | 2006-09-29 |
| 1598362725 | Marygrace Brogioli | Nurse Practitioner | 92 New London Tpke # 1, Norwich, CT 06360-2616 | 2020-10-01 |
| 1629429832 | Rachel Jadczak | Nurse Practitioner | 34 E Town St, Norwich, CT 06360-2317 | 2016-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382792 | Jessca Morcone | Nurse Practitioner | 640 Brookside Dr, Fairfield, CT 06824-2419 | 2019-12-04 |
| 1790337137 | Elizabeth R Renker | Nurse Practitioner | 97 Barnes Rd Ste 6, Wallingford, CT 06492-1885 | 2019-07-16 |
| 1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
| 1487180840 | Meghan Mccarthy Warzoha | Nurse Practitioner | 2001 W Main St Ste 132, Stamford, CT 06902-4544 | 2017-05-04 |
| 1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1740602515 | Smart Start Pediatrics | Nurse Practitioner | 27 Sycamore St., Suite 300, Glastonbury, CT 06033 | 2014-01-14 |
| 1780013102 | Elizabeth Anavy | Nurse Practitioner | 195 Hillandale Ave, Stamford, CT 06902-2823 | 2013-11-06 |
| 1174951669 | Bela Kirit Dharia | Nurse Practitioner | 55 Lock Street, Yale Health, New Haven, CT 06511-3603 | 2013-10-22 |
| 1679908925 | Christine M Turcotte | Nurse Practitioner | 21b Liberty Dr, Hebron, CT 06248 | 2013-09-05 |
| Find all providers with the same taxonomy | ||||
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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.