KRISTINE CALLENDER (NPI# 1356987887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356987887 |
Entity Type | Individual |
Full Name | KRISTINE CALLENDER |
Credential | APRN, FNP-BC |
Practice Address |
44 Maritime Dr Mystic CT 06355-1958 |
Mailing Address |
71 Stoneheights Dr Waterford CT 06385-1936 |
Practice Telephone | 8605721700 |
Enumeration Date | 2019-11-19 |
Last Update Date | 2019-11-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8554 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
44 MARITIME DR |
City | MYSTIC |
State | CT |
Zip Code | 06355-1958 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366563561 | Ssc Mystic Operating Company LLC | Skilled Nursing Facility | 44 Maritime Dr, Mystic, CT 06355-1958 | 2007-04-03 |
1023666831 | Victoria Gilliard | Occupational Therapy Assistant | 44 Maritime Dr, Mystic, CT 06355-1958 | 2019-08-27 |
1376100404 | Cathy Ann Lee | Occupational Therapy Assistant | 44 Maritime Dr, Mystic, CT 06355-1958 | 2019-05-23 |
1467018135 | Suzanne Manzo | Physical Therapist | 44 Maritime Dr, Mystic, CT 06355-1958 | 2019-05-17 |
1376109355 | Katherine Stockwell | Physical Therapy Assistant | 44 Maritime Dr, Mystic, CT 06355-1958 | 2019-05-14 |
1275199549 | Valerie Bilheimer | Physical Therapy Assistant | 44 Maritime Dr, Mystic, CT 06355-1958 | 2019-05-13 |
1063078269 | Christina Taylor | Occupational Therapy Assistant | 44 Maritime Dr, Mystic, CT 06355-1958 | 2019-05-13 |
1144886425 | Annaliza Gonzales Lewerk | Occupational Therapy Assistant | 44 Maritime Dr, Mystic, CT 06355-1958 | 2019-05-13 |
1033510953 | Shaina Mcginity | Speech-Language Pathologist | 44 Maritime Dr, Mystic, CT 06355-1958 | 2014-09-10 |
1861623787 | Caitlin Ann Morse | Physical Therapist | 44 Maritime Dr, Pendleton Health and Rehabilitation Center, Mystic, CT 06355-1958 | 2009-07-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770076069 | Brian Kristofer Owczarski | Physical Therapist | 80 Stonington Rd Ste A-3, Mystic, CT 06355 | 2018-06-11 |
1922554120 | Kayla Nickerson Gauthier | Marriage & Family Therapist | 41 Williams Ave, Mystic, CT 06355 | 2016-08-28 |
1417351156 | Lisa Pacifico | Physical Therapist | 44 Maritime Dive, Mystic, CT 06355 | 2014-10-09 |
1619386539 | Jennifer Rock | Occupational Therapist | 44 Maritime Drive, Pendleton Health and Rehab Center, Mystic, CT 06355 | 2014-08-05 |
1346565843 | Karen Lucille Hanscom | Psychologist | 47 Water St. #203, Mystic, CT 06355 | 2010-03-29 |
1346415627 | Eldon Richard Kilpatrick | Physical Therapy Assistant | 186 Jerry Browne Rd, Mystic, CT 06355 | 2008-04-28 |
1760688931 | Heather Elyse Geyer | Physical Therapist | 2440 Gold Star Hwy Suite 201, Mystic, CT 06355 | 2007-06-25 |
1982728754 | Falck Eye Center LLC | Ophthalmology | 35 Washington Street, Mystic, CT 06355 | 2007-03-19 |
1881724326 | Richard Irwin Steinberg | Dentist | 117 Cow Hill Road, Mystic, CT 06355 | 2007-03-06 |
1992890362 | Coastal Dermatology, P.C. | Dermatology | 55 Willow Street, Mystic, CT 06355 | 2006-10-03 |
Find all providers in zip 06355 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669889820 | Christopher J Anderson | Nurse Practitioner | 12 Roosevelt Ave, Second Floor, Mystic, CT 06355 | 2014-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
1023618634 | Jessica Anne Butt | Nurse Practitioner | 93 E Putnam Rd, Putnam, CT 06260-2824 | 2020-11-01 |
1962002691 | Marielle Hellerud Khuen | Nurse Practitioner | 39 Fifth St, Norwalk, CT 06855-2402 | 2020-10-30 |
1043810013 | Alexa L Carolan | Nurse Practitioner | 24 Penny Ln, Watertown, CT 06795-1734 | 2020-10-29 |
1891394219 | Azra Alagic | Nurse Practitioner | 374 Cypress Rd, Newington, CT 06111-5616 | 2020-10-19 |
1396352589 | Jeffrey Kiser | Nurse Practitioner | 123 Sisson Ave Fl 3, Hartford, CT 06106-1136 | 2020-09-30 |
1932716628 | Tabia Thompson-lamothe | Nurse Practitioner | 16 Woodhill Rd, Trumbull, CT 06611-3356 | 2020-09-26 |
1356958243 | Lisa Solari | Nurse Practitioner | 34 Centerwood Rd, Newington, CT 06111-3107 | 2020-09-25 |
1558977801 | Megan Bouchard | Nurse Practitioner | 2351 Summer St, Stamford, CT 06905-4504 | 2020-09-22 |
1316553233 | Anylen Ruiz Ayala | Nurse Practitioner | 109 W Center St, Manchester, CT 06040-4917 | 2020-09-16 |
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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.