LISA MAZZOLA (NPI# 1366927261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366927261 |
| Entity Type | Individual |
| Full Name | LISA MAZZOLA |
| Other Name | LISA KIMLINGEN |
| Practice Address |
71 Westcott Rd Danielson CT 06239-2929 |
| Mailing Address |
995 Day Hill Rd Windsor CT 06095-1722 |
| Practice Telephone | 8607747179 |
| Practice Fax Number | 8607796526 |
| Mailing Telephone | 8607315522 |
| Mailing Fax Number | 8607315536 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760514954 | Lisa M Mazzola | Occupational Therapist | 15 Hasson St, Farmingdale, ME 04344-1613 | 2007-03-12 |
| Street Address |
71 WESTCOTT RD |
| City | DANIELSON |
| State | CT |
| Zip Code | 06239-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710312533 | Mary Catherine D'amico | Nurse Practitioner | 71 Westcott Rd, Danielson, CT 06239-2929 | 2013-09-11 |
| 1144868787 | Corrie J Cirelli | Counselor | 71 Westcott Rd, Danielson, CT 06239-2929 | 2019-12-13 |
| 1306345467 | Lisa Soule | Counselor | 71 Westcott Rd, Danielson, CT 06239-2929 | 2018-02-05 |
| 1104325257 | Susan Chartier | Counselor | 71 Westcott Rd, Danielson, CT 06239-2929 | 2018-02-05 |
| 1356878805 | Rhianna Gingras | Counselor | 71 Westcott Rd, Danielson, CT 06239-2929 | 2017-05-16 |
| 1164870200 | Kristin Allard | Counselor | 71 Westcott Rd, Danielson, CT 06239 | 2016-05-31 |
| 1053768713 | Richard Hisman | Counselor | 71 Westcott Rd, Danielson, CT 06239-2929 | 2016-05-23 |
| 1932500055 | Nicholas Pantuosco | Counselor | 71 Westcott Rd, Danielson, CT 06239-2929 | 2014-09-08 |
| 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 |
| 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 |
| 1013918408 | Kb Ambulance Corps, Inc. | Ambulance | 294 Westcott Road, Danielson, CT 06239-0209 | 2005-08-09 |
| Find all providers in zip 06239 | ||||
| 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 |
|---|---|---|---|---|
| 1568818896 | Chelsea Bellefleur | Student in an Organized Health Care Education/Training Program | 37 Commerce Ave, Danielson, CT 06239-2804 | 2016-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951584 | Lauren Dubois | Student in an Organized Health Care Education/Training Program | 248 Middletown Ave, Wethersfield, CT 06109-3805 | 2020-10-28 |
| 1427665546 | Eleni Angistrioti | Student in an Organized Health Care Education/Training Program | 135 Brittany Farms Rd Apt D, New Britain, CT 06053-1127 | 2020-09-24 |
| 1952916488 | Ashley Poprilo | Student in an Organized Health Care Education/Training Program | 19 Grand St, Middletown, CT 06457-2705 | 2020-09-11 |
| 1972116978 | Avery Iudice | Student in an Organized Health Care Education/Training Program | 116 Morgan St Apt 238a, Stamford, CT 06905-5441 | 2020-08-28 |
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1851917561 | Ryan Halloran | Student in an Organized Health Care Education/Training Program | 8 Apple St, Norwalk, CT 06851-4104 | 2020-06-18 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| Find all providers with the same taxonomy | ||||
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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.