AMANDA L KUCZO (NPI# 1376170076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376170076 |
| Entity Type | Individual |
| Full Name | AMANDA L KUCZO |
| Practice Address |
105 High Ridge Rd Fairfield CT 06825-2531 |
| Practice Telephone | 2037671766 |
| Mailing Telephone | 2037671766 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
105 HIGH RIDGE RD |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| 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 |
|---|---|---|---|---|
| 1407466493 | Lizbeth Padilla | Student in an Organized Health Care Education/Training Program | 1125 Hayes St, Fairfield, CA 94533-4707 | 2020-08-04 |
| 1003426024 | Rebecca M Dance | Student in an Organized Health Care Education/Training Program | 5752 David Pl, Fairfield, OH 45014-3508 | 2020-08-04 |
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1396368585 | Sadek Debwan | Student in an Organized Health Care Education/Training Program | 2813 Shelter Hill Dr, Fairfield, CA 94534-8628 | 2020-05-21 |
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1023647989 | Maggie Giambalvo | Student in an Organized Health Care Education/Training Program | 752 Towne House Rd, Fairfield, CT 06824-1819 | 2020-04-03 |
| 1518503689 | Greta Jones | Student in an Organized Health Care Education/Training Program | 855 Mcglaughlin Rd, Fairfield, PA 17320-9002 | 2019-11-22 |
| 1609424175 | Andrew Stephens | Student in an Organized Health Care Education/Training Program | Dgmc, 101 Bodin Cir, Fairfield, CA 94533 | 2019-08-28 |
| 1427600550 | Nancy Ivette Bocanegra | Student in an Organized Health Care Education/Training Program | 1607 Clay St, Fairfield, CA 94533-3808 | 2019-07-09 |
| 1013481316 | Raquel Marie Divincenzo | Student in an Organized Health Care Education/Training Program | 5151 Park Ave # Mc1425, Fairfield, CT 06825-1090 | 2019-01-20 |
| Find all providers in FAIRFIELD | ||||
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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.