CASSIDY LYNNE JACOBS (NPI# 1376056705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376056705 |
| Entity Type | Individual |
| Full Name | CASSIDY LYNNE JACOBS |
| Credential | PA-C |
| Practice Address |
1952 Whitney Ave Ste 8 Hamden CT 06517 |
| Mailing Address |
135 Cottage St Apt F3 New Haven CT 06511-2437 |
| Practice Telephone | 2038481803 |
| Mailing Telephone | 4794598350 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2019-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Towson Ave, Fort Smith, AR 729014921 | 4794415005 | |
| 1952 Whitney Ave Ste 8, Hamden, CT 06517 | 2038481803 |
| Street Address |
1952 WHITNEY AVE STE 8 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306136957 | Farhad Montazeri-lemraski | Internal Medicine | 1952 Whitney Ave Ste 8, Hamden, CT 06517-1209 | 2011-04-17 |
| 1871031492 | Franklin Dedominicis | Physician Assistant | 1952 Whitney Ave Ste 8, Hamden, CT 06517-1209 | 2017-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760844088 | Best Choice Home Health Care Inc | Community/Behavioral Health | 1840 State Streetr, Hamden, CT 06517 | 2016-03-25 |
| 1932474053 | John E. Fenn | Surgery | 200 Leeder Hill Drive, #2603, Hamden, CT 06517 | 2012-03-22 |
| 1053689489 | Wanda Bronstein | Physician Assistant | Internal Medicine of Greater New Haven, 1952 Whitney Ave, Hamden, CT 06517 | 2011-12-13 |
| 1033429972 | Heidi Outtrim | Counselor | 197 Haverford St, Hamden, CT 06517 | 2010-10-13 |
| 1265766950 | Alison E. Thurber | Social Worker | 120 Thornton Street, Hamden, CT 06517 | 2009-09-28 |
| 1487724118 | Regina J Magnetti | Social Worker | 103 Carleton St, Hamden, CT 06517 | 2006-11-09 |
| 1407947179 | Diana Congdon | Nurse Practitioner | 1844 Whitney Ave Ste 2, Hamden, CT 06517 | 2006-09-27 |
| 1477535904 | Lori Kurgan Paragas | Podiatrist | 1952 Whitney Ave., 3rd Floor, Hamden, CT 06517 | 2005-11-18 |
| 1891207221 | Crystal Ann Tolpa | Occupational Therapist | 200 Leeder Hill Drive, Hamden, CT 06517 | 2017-10-25 |
| 1275929291 | Ct Family Foot Care and Surgery, LLC | Clinic/Center | 1952 Whitney Ave., 3rd Floor, Hamden, CT 06517 | 2015-04-07 |
| Find all providers in zip 06517 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740836766 | Christina Ferneini | Physician Assistant | 10 Breckenridge Ct, Hamden, CT 06514-1529 | 2019-08-15 |
| 1174008320 | Janelle Grizzle | Physician Assistant | 8102 Town Walk Dr, Hamden, CT 06518-3715 | 2018-10-03 |
| 1013491349 | Nina Tufaro | Physician Assistant | 925 Mix Ave Apt 1d, Hamden, CT 06514-5151 | 2018-09-22 |
| 1649655226 | Shahin Shaikh | Physician Assistant | 2 Skiff St Apt 311, Hamden, CT 06514-1822 | 2015-07-24 |
| 1053689489 | Wanda Bronstein | Physician Assistant | Internal Medicine of Greater New Haven, 1952 Whitney Ave, Hamden, CT 06517 | 2011-12-13 |
| 1003197039 | Carly Rumanoff | Physician Assistant | 3588 Whitney Ave, Hamden, CT 06518-1920 | 2011-09-04 |
| 1598904161 | Stephanie Benedict Parrillo | Physician Assistant | 2560 Dixwell Ave Ste 2b, Hamden, CT 06514-1852 | 2009-02-05 |
| 1285870121 | Jennifer Pielech | Physician Assistant | 9 Washington Ave Ste 3a, Hamden, CT 06518-3267 | 2008-12-24 |
| 1134304017 | Richard Elliott Chen | Physician Assistant | 27331 Town Walk Dr, Hamden, CT 06518-3777 | 2008-01-09 |
| 1073580833 | Marcy Ann Carrera | Physician Assistant | 275 Mount Carmel Ave Bldg 4, Hamden, CT 06518-1905 | 2006-03-01 |
| Find all providers in HAMDEN | ||||
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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.