CRISTIANA CLARK (NPI# 1346732716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346732716 |
Entity Type | Individual |
Full Name | CRISTIANA CLARK |
Credential | APRN |
Practice Address |
100 Grand St New Britain CT 06052 |
Mailing Address |
825 Orange St Apt 2 New Haven CT 06511-2507 |
Practice Telephone | 8602245691 |
Mailing Telephone | 8176818674 |
Enumeration Date | 2018-06-01 |
Last Update Date | 2018-06-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 121533 | CT | Nursing Service Providers |
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
7643 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
20 York St, New Haven, CT 065103220 | 2036882366 |
Street Address |
100 GRAND ST |
City | NEW BRITAIN |
State | CT |
Zip Code | 06052 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174526784 | Kathryn W Tierney | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2005-05-27 |
1528674629 | Alicja Jedrychowski | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2020-09-23 |
1366050411 | Casey Aivano | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2020-07-15 |
1689297418 | Amanda Catherine Ehresman | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2020-05-27 |
1679194633 | Zachary Russo | Physician Assistant | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-30 |
1912526765 | Cristina Melinda Decrosta | Social Worker | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-13 |
1467071696 | Natali R Senocak | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-08 |
1346879608 | Najwan Augustin | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-07 |
1346879616 | Christopher J Dipollina | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-07 |
1861021263 | Rosanne M Zandvliet | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629604905 | Lynn Fazzino | Physical Therapist | Cora, 136 West Main St, New Britain, CT 06052 | 2020-03-18 |
1265927826 | Marie Susie Gustin | Psychologist | 365 Shuttle Meadow Ave, New Britain, CT 06052 | 2018-06-26 |
1942711718 | Ashley R Stevens | Nurse Practitioner | 22 Cedar St., New Britain, CT 06052 | 2017-10-19 |
1740710417 | Roxanne Guzze | Pharmacy Technician | 470 Hartford Road, New Britain, CT 06052 | 2017-06-15 |
1417483165 | Liberty Integrated Behavioral Health, LLC | Nurse Practitioner | 18 Hart St., New Britain, CT 06052 | 2017-05-02 |
1518233022 | Kristy Messier | Counselor | 73 Cedar St., The Hospital of Central Connecticut, New Britain, CT 06052 | 2012-03-29 |
1629374178 | Liberty Healthcare, LLC | Nurse Practitioner | 18 Hart St, New Britain, CT 06052 | 2011-02-01 |
1528207800 | Colleen M Picone | Social Worker | 55 Winthrop Street, New Britain, CT 06052 | 2009-02-11 |
1902073166 | Joseph Paladino | Durable Medical Equipment & Medical Supplies | 39 Brooklawn St, New Britain, CT 06052 | 2008-05-15 |
1861667768 | Elizabeth Kartsen | Audiologist | 292 West Main Street, Grove Hill Medical Center, PC, New Britain, CT 06052 | 2008-04-23 |
Find all providers in zip 06052 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417584459 | Valeria Renee St Laurent | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2020-03-26 |
1588180319 | Raymond Doyle | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2017-08-14 |
1316483431 | Jessica Grillo | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2017-01-12 |
1588091193 | James Robert Sullivan | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2013-09-27 |
1336448935 | Stacy Azeredo Pagliaruli | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2011-03-22 |
1386877355 | Jill Allison Stewart | Nurse Practitioner | 100 Grand St, New Britain, CT 06052-2016 | 2009-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760004469 | Joseph A Sarkis | Nurse Practitioner | 34 Blackwells Lndg, Brooklyn, CT 06234-2444 | 2020-05-15 |
1720543960 | Lia Sgambato | Nurse Practitioner | 263 Farmington Ave # 2875, Farmington, CT 06030-0001 | 2019-02-01 |
1588136295 | Tao Wang | Nurse Practitioner | 38 Michele Dr, Portland, CT 06480-1013 | 2018-12-19 |
1114417847 | Jennifer Lynn Trocola | Nurse Practitioner | 63 Myano Ln Apt 6, Stamford, CT 06902-4500 | 2018-05-17 |
1386178093 | Janine Brooks | Nurse Practitioner | 47 Elmridge Rd, Pawcatuck, CT 06379-1234 | 2017-04-19 |
1639622962 | Joshua N Alderman | Nurse Practitioner | 353 Main St Ste 2, Manchester, CT 06040-4145 | 2016-08-03 |
1508224437 | Sheldon Leigh Stock | Nurse Practitioner | 701 Cottage Grove Rd Ste B220, Bloomfield, CT 06002-3077 | 2016-02-06 |
1548636673 | Cheryl Pappas | Nurse Practitioner | 111 Salem Tpke Ste 8, Norwich, CT 06360-7403 | 2015-08-12 |
1265780894 | Annetta Ruth Troche | Nurse Practitioner | 22 Parkwood Drive, Windsor, CT 06095 | 2012-08-29 |
1609122787 | Jaimme Lee Franson | Nurse Practitioner | 324 Elm St Suite 202b, Monroe, CT 06468 | 2012-07-26 |
Find all providers with the same taxonomy |
City | NEW BRITAIN |
Zip Code | 06052 |
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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.