MANDY DEMERCHANT (NPI# 1366994956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366994956 |
Entity Type | Individual |
Full Name | MANDY DEMERCHANT |
Credential | DNP, APRN |
Practice Address |
55 Park St New Haven CT 06511-5474 |
Practice Telephone | 2032003379 |
Practice Fax Number | 2032003390 |
Mailing Telephone | 2032002486 |
Mailing Fax Number | 2032003389 |
Enumeration Date | 2016-10-29 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN01475 | RI | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
6991 | CT | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN01475 | RI | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APRN01475 | RI | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
333 Budlong Rd, Cranston, RI 029206337 | 4019434530 |
Street Address |
55 PARK ST |
City | NEW HAVEN |
State | CT |
Zip Code | 06511-5474 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124626973 | Monica Fahmy | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-10-14 |
1760080675 | Jonathan Worley | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-10-13 |
1619589280 | Pegah Shakeraneh | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-08-17 |
1033720669 | Megan Trombi | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-08-17 |
1720698244 | Melissa Chinn | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-08-10 |
1639789951 | Bobbi Jo Loflin | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-08-01 |
1639797566 | Nicole Gonzalez | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-07-07 |
1497378590 | Ahrang Yoo | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-05-22 |
1467083543 | Saman Mirzaei | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2020-01-28 |
1356985477 | Michael Anthony Ruggero | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2019-10-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
Find all providers in zip 06511 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306409222 | Terance A Anderson | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-04-16 |
1730667270 | Michael Riley Levien | Nurse Practitioner | 874 Howard Ave, New Haven, CT 06519-1106 | 2018-08-06 |
1972098762 | Hung Le | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510 | 2018-06-25 |
1295286110 | Qian Zeng | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2016-10-14 |
1922463835 | Thao T Nguyen | Nurse Practitioner | 874 Howard Ave, Basement - Room 007, New Haven, CT 06519-1106 | 2015-12-18 |
1982072591 | Shannon P Kukulka | Nurse Practitioner | 874 Howard Ave, New Haven, CT 06519-1106 | 2015-09-14 |
1669853800 | Jamie Stone Feingold | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2015-06-13 |
1134535859 | Rachel M Pisani | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2014-07-02 |
1023223633 | Innovative Health Concepts | Nurse Practitioner | 1201 Daly Dr, New Haven, IN 46774-1891 | 2007-05-14 |
1962471342 | Zina I Crescenzi | Nurse Practitioner | 1450 Chapel Street, New Haven, CT 06511 | 2006-03-16 |
Find all providers in NEW HAVEN |
Please comment or provide details below to improve the information on MANDY DEMERCHANT.
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.