CHARITY MCCLURE (NPI# 1366875007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366875007 |
| Entity Type | Individual |
| Full Name | CHARITY MCCLURE |
| Credential | APRN |
| Practice Address |
45 Green Hollow Rd Danielson CT 06239-3509 |
| Mailing Address |
320 Pomfret Street Csb 2 Attn: Credentialing Dpt Putnam CT 06260-1836 |
| Practice Telephone | 8607741255 |
| Practice Fax Number | 8609288283 |
| Mailing Telephone | 8609286541 |
| Mailing Fax Number | 8609636450 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2015-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
005450 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004236346 | 05 |
| Street Address |
45 GREEN HOLLOW RD |
| City | DANIELSON |
| State | CT |
| Zip Code | 06239-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962487983 | Philip Rufus Raiford | Family Medicine | 45 Green Hollow Rd, Danielson, CT 06239-3509 | 2005-12-13 |
| 1295202927 | Stephanie Erica Donoyan | Physician Assistant | 45 Green Hollow Rd, Danielson, CT 06239-3509 | 2018-10-31 |
| 1184050072 | Pamela J Howell | Registered Nurse | 45 Green Hollow Rd, Danielson, CT 06239-3509 | 2013-09-24 |
| 1407099484 | Alan Patrick Ruiz | Family Medicine | 45 Green Hollow Rd, Danielson, CT 06239-3509 | 2009-04-07 |
| 1316078140 | Danielson Medical Associates, P.C. | Family Medicine | 45 Green Hollow Rd, Danielson, CT 06239-3509 | 2007-03-07 |
| 1548245491 | Anthony John Purcell | Family Medicine | 45 Green Hollow Rd, Danielson, CT 06239-3509 | 2005-12-14 |
| 1942285960 | Marguerite Mary Davis | Family Medicine | 45 Green Hollow Rd, Danielson, CT 06239-3509 | 2005-12-13 |
| 1538144548 | David Martin Wilterdink | Family Medicine | 45 Green Hollow Rd, Danielson, CT 06239-3509 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871075218 | Brooke Fell | Licensed Practical Nurse | 391 Pomfret Avenue, Putnam, CT 06239 | 2018-09-01 |
| 1780920215 | Donna Johnston | Social Worker | 70 Cottage Street, Danielson, CT 06239 | 2013-01-03 |
| 1194935718 | Ralph T Campagna | Hearing Instrument Specialist | 594 Putnam Road, Danielson, CT 06239 | 2007-05-23 |
| 1609095868 | Danielson Pharmacy Inc | Pharmacy | 77 A Westcott Rd, Danielson, CT 06239 | 2007-04-25 |
| 1366515207 | Gary Edward Hartell | Chiropractor | 100 Broad Street, Danielsen, CT 06239 | 2006-11-16 |
| 1336223668 | Daniel E Fiore | Pharmacist | 42 Reynolds Street, Danielson, CT 06239 | 2006-10-24 |
| 1164870200 | Kristin Allard | Counselor | 71 Westcott Rd, Danielson, CT 06239 | 2016-05-31 |
| 1730555012 | Anastasia Zhuk Guc | Nurse Practitioner | 87 Westcott Rd, Danielson, CT 06239 | 2015-08-20 |
| 1033283197 | Optometric Associates of Danielson PC | Optometrist | 419 Main St, Danielson, CT 06239 | 2006-11-20 |
| 1417046830 | Cranston Archer Briggs | Optometrist | 419 Main St, Danielson, CT 06239 | 2006-10-12 |
| Find all providers in zip 06239 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417579897 | Kristen M Joly | Nurse Practitioner | 111 Ernest Way, Danielson, CT 06239-4261 | 2020-05-08 |
| 1891265518 | Brittany Lee Besse | Nurse Practitioner | 54 Reynolds St, Danielson, CT 06239-2917 | 2018-11-26 |
| 1003359720 | Nicole Marden | Nurse Practitioner | 54 Reynolds St, Danielson, CT 06239-2917 | 2016-11-29 |
| 1871040675 | Pamela Johnson | Nurse Practitioner | 54 Reynolds St, Danielson, CT 06239-2917 | 2016-09-08 |
| 1265785299 | Abby Ann Gloria | Nurse Practitioner | 54 Reynolds St, Danielson, CT 06239-2917 | 2012-10-15 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHARITY MCCLURE.
| 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.