LAUREN DALE (NPI# 1346726809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346726809 |
| Entity Type | Individual |
| Full Name | LAUREN DALE |
| Practice Address |
56 Franklin St Ste 1 Waterbury CT 06706-1281 |
| Mailing Address |
260 Mallard Dr E North Wales PA 19454-1197 |
| Practice Telephone | 2037096000 |
| Mailing Telephone | 2678858695 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
4284 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 260 Mallard Dr E, North Wales, PA 194541197 | 2678858695 |
| Street Address |
56 FRANKLIN ST STE 1 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06706-1281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699272625 | Behnoud Baradaran Noveiry | Student in an Organized Health Care Education/Training Program | 56 Franklin St Ste 1, Waterbury, CT 06706-1281 | 2018-04-06 |
| 1851909691 | Andrea Szarkowicz | Nurse Anesthetist, Certified Registered | 56 Franklin St Ste 1, Waterbury, CT 06706-1281 | 2020-07-17 |
| 1790309441 | Saman Tariq | Student in an Organized Health Care Education/Training Program | 56 Franklin St Ste 1, Waterbury, CT 06706-1281 | 2020-05-28 |
| 1528695277 | Jackeline P Vajta Gomez | Student in an Organized Health Care Education/Training Program | 56 Franklin St Ste 1, Waterbury, CT 06706-1281 | 2020-03-24 |
| 1912534405 | Meng Geng | Student in an Organized Health Care Education/Training Program | 56 Franklin St Ste 1, Waterbury, CT 06706-1281 | 2020-03-24 |
| 1477107779 | Luke Zalewski | Physician Assistant | 56 Franklin St Ste 1, Waterbury, CT 06706-1281 | 2019-07-25 |
| 1417416595 | Derek Ryan Corporon | Student in an Organized Health Care Education/Training Program | 56 Franklin St Ste 1, Waterbury, CT 06706-1281 | 2019-03-18 |
| 1083173124 | Karen Marcela Cajiao | Student in an Organized Health Care Education/Training Program | 56 Franklin St Ste 1, Waterbury, CT 06706-1281 | 2019-03-18 |
| 1336635077 | Allison Hallbach | Physician Assistant | 56 Franklin St Ste 1, Waterbury, CT 06706-1281 | 2018-07-05 |
| 1740775394 | Daivyd Alexander Palencia Pacheco | Student in an Organized Health Care Education/Training Program | 56 Franklin St Ste 1, Waterbury, CT 06706-1281 | 2018-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245750538 | Sameerah Ibtisam Rehmani | Internal Medicine | St Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706 | 2017-06-27 |
| 1417208448 | Sherry L Gatling | Durable Medical Equipment & Medical Supplies | 394 Mill Street, 2nd Flr N, Waterbury, CT 06706 | 2012-10-01 |
| 1144505538 | Amanda Maria Delcavo | Physician Assistant | 50 Franklin Street, Waterbury, CT 06706 | 2011-10-17 |
| 1508097031 | Lauren K Ayr-volta | Clinical Neuropsychologist | 133 Scovill Street, Suite 211, Waterbury, CT 06706 | 2009-07-31 |
| 1538206800 | John Chardavoyne | Psychiatry & Neurology | Waterbury Outpatient Clinic, 95 Scovill Street, Waterbury, CT 06706 | 2007-01-30 |
| 1922111632 | Thomas Owen Genese | Internal Medicine | 56 Franklin Street, St. Mary's Hospital - Dept of Medicine, Waterbury, CT 06706 | 2006-08-16 |
| 1013942465 | Nancy Lou Kline | Nurse Practitioner | 133 Scovill Street-waterbury Va Community Based Clinic, #203, Waterbury, CT 06706 | 2006-07-12 |
| 1013455351 | Denisse Burgos-jimenez | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2017-02-07 |
| 1902255086 | Kaitlyn Jennings | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2016-06-08 |
| 1366823783 | Yamini Sachan | Internal Medicine | 56 Franklin Street, Waterbury, CT 06706 | 2015-06-11 |
| Find all providers in zip 06706 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609362847 | Nancy Elaine Rizza | Physician Assistant | 1389 W Main St Ste 120, Waterbury, CT 06708-3104 | 2018-07-10 |
| 1154516672 | Matthew Letko | Physician Assistant | 1389 W Main Street, Suite 120, Waterbury, CT 06708-3104 | 2007-09-07 |
| 1851439244 | Sara Whipple Coles | Physician Assistant | 8 S Commons Rd, Waterbury, CT 06704-1035 | 2007-02-01 |
| 1083237861 | Shalima Abdalla | Physician Assistant | 402 E Main St, Waterbury, CT 06702-1701 | 2020-05-27 |
| 1083269575 | Leslie Diaz | Physician Assistant | 141 E Main St, Waterbury, CT 06702-2310 | 2019-08-02 |
| 1053813220 | Dylan Stempel | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2018-03-05 |
| 1538617204 | Kayla N Ingram | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1238 | 2016-09-12 |
| 1710338058 | Jaclyn Milano | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2016-06-28 |
| 1902255086 | Kaitlyn Jennings | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2016-06-08 |
| 1245613199 | Kalin Haley | Physician Assistant | 56 Franklin St, Waterbury, CT 06706-1253 | 2015-07-09 |
| Find all providers in WATERBURY | ||||
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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.