ISRA YAGHOUBI (NPI# 1366899122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366899122 |
| Entity Type | Individual |
| Full Name | ISRA YAGHOUBI |
| Practice Address |
1 King Philip Dr Unit 211 West Hartford CT 06117-2145 |
| Practice Telephone | 2035509042 |
| Mailing Telephone | 2035509042 |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004239370 | 05 |
| Street Address |
1 KING PHILIP DR UNIT 211 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-2145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154817237 | Mmp Therapy and Consulting | Community/Behavioral Health | 2475 Albany Avenue, West Hartford, CT 06117 | 2018-07-02 |
| 1669856555 | Noah Joseph Bluestone | Psychologist | 68 Soutth Main St, Suite 202, West Hartford, CT 06117 | 2015-07-10 |
| 1487040747 | Nancy Cabelus | Registered Nurse | 1678 Asylum Ave. Room 317, University of St. Joseph, West Hartford, CT 06117 | 2015-04-13 |
| 1124384276 | Louis Brown | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 164 Orchard Rd, West Hartford, CT 06117 | 2012-04-03 |
| 1720282882 | Ruth Kahn | Psychologist | 54 Mountain Brook Road, West Hartford, CT 06117 | 2007-06-13 |
| 1437370426 | Dana Orthodontics PC | Dentist | 2446 Albany Avenue, West Hartford, CT 06117 | 2007-05-01 |
| 1972723146 | Michelle Payson | Occupational Therapist | One Abrahms Boulevard, West Hartford, CT 06117 | 2007-04-27 |
| 1457579583 | Kathy A Mccloskey | Psychologist | 200 Bloomfield Avenue, University of Hartford, West Hartford, CT 06117 | 2007-04-23 |
| 1427181585 | Nancy L White | Naturopath | 10 Crossroads Plaza, West Hartford, CT 06117 | 2007-03-14 |
| 1689743452 | August C Olivar | Obstetrics & Gynecology | 2437 Albany Avenue, Suite 202, West Hartford, CT 06117 | 2006-11-07 |
| Find all providers in zip 06117 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902448988 | Christopher Mello | Student in an Organized Health Care Education/Training Program | 6 Squirrel Hill Ln, West Hartford, CT 06107-1035 | 2019-10-11 |
| 1972167500 | Hannah Johnson | Student in an Organized Health Care Education/Training Program | 137 Woodpond Rd, West Hartford, CT 06107-3540 | 2019-04-29 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1992047898 | Arturo Ricardo Montano | Student in an Organized Health Care Education/Training Program | 20 Outlook Ave, Apt 201, West Hartford, CT 06119-1448 | 2013-03-19 |
| 1073741617 | Elliott Burton Martin Jr. | Student in an Organized Health Care Education/Training Program | 94 Dover Rd, West Hartford, CT 06119-1214 | 2009-06-22 |
| 1073159257 | Michelle Bracha | Student in an Organized Health Care Education/Training Program | 101 South St, West Hartford, CT 06110-1967 | 2019-11-21 |
| 1790336246 | Lady Fernanda Carphio | Student in an Organized Health Care Education/Training Program | 101 South St, West Hartford, CT 06110-1967 | 2019-09-26 |
| 1912488867 | Rene F Jones | Student in an Organized Health Care Education/Training Program | 101 South St, West Hartford, CT 06110-1967 | 2018-08-28 |
| 1104276609 | Heather Mcsherry | Student in an Organized Health Care Education/Training Program | 101 South St Fl 2, West Hartford, CT 06110-1967 | 2016-06-15 |
| 1518392778 | Shayna Rose Ull | Student in an Organized Health Care Education/Training Program | 333 Bloomfield Ave, West Hartford, CT 06117-1500 | 2013-09-06 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06117 |
Please comment or provide details below to improve the information on ISRA YAGHOUBI.
| 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.