TRACY CAROL TIMQUE (NPI# 1386263135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386263135 |
| Entity Type | Individual |
| Full Name | TRACY CAROL TIMQUE |
| Practice Address |
275 Mount Carmel Ave Hamden CT 06518-1961 |
| Mailing Address |
17 Dante Ave Hicksville NY 11801-6305 |
| Practice Telephone | 2035828200 |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
275 MOUNT CARMEL AVE |
| City | HAMDEN |
| State | CT |
| Zip Code | 06518-1961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952389827 | Gordon C Hurlbert IIi | Specialist | 275 Mount Carmel Ave, Gm-ath Rm 135, Hamden, CT 06518-1961 | 2006-01-02 |
| 1073112447 | Megan O'neill | Specialist/Technologist | 275 Mount Carmel Ave, Hamden, CT 06518-1961 | 2020-10-18 |
| 1932707361 | Alexandra Morris | Specialist/Technologist | 275 Mount Carmel Ave, Hamden, CT 06518-1961 | 2020-10-16 |
| 1801494570 | Daniel Jonathan Schultheis | Student in an Organized Health Care Education/Training Program | 275 Mount Carmel Ave, Hamden, CT 06518-1961 | 2020-10-14 |
| 1265030936 | Anthony William Pacheco IIi | Student in an Organized Health Care Education/Training Program | 275 Mount Carmel Ave, Hamden, CT 06518-1908 | 2020-10-14 |
| 1528673977 | Rory Lavery | Specialist/Technologist | 275 Mount Carmel Ave, Hamden, CT 06518-1908 | 2020-09-12 |
| 1962016816 | Kyle-hashim Daniels | Nurse Practitioner | 275 Mount Carmel Ave, Hamden, CT 06518-1908 | 2020-09-08 |
| 1669001202 | Gabriella Renee Mascioli | Student in an Organized Health Care Education/Training Program | 275 Mount Carmel Ave, Hamden, CT 06518-1961 | 2020-04-06 |
| 1992334593 | Delilah Dominguez | Social Worker | 275 Mount Carmel Ave, Hamden, CT 06518-1961 | 2020-04-06 |
| 1780213488 | Julia Nicole Vanasse | Student in an Organized Health Care Education/Training Program | 275 Mount Carmel Ave, Hamden, CT 06518-1961 | 2020-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082032 | Lynne Severance | Registered Nurse | 121 Highland Ave, Hamden, CT 06518 | 2018-05-03 |
| 1912446782 | Associates In Medical & Cosmetic Dermatology, PC | Dermatology | 9 Washington Avenue, Hamden, CT 06518 | 2017-02-14 |
| 1700338738 | The Lasik Vision Institute LLC | Clinic/Center | 2313 Whitney Avenue, Suite 1b, Hamden, CT 06518 | 2016-10-25 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1174751598 | Yetsa Adebodunde Tuakli-wosornu | Physical Medicine & Rehabilitation | 2080 Whitney Ave Ste 280, Hamden, CT 06518 | 2009-06-24 |
| 1619112133 | Priority Healthcare, LLC | Home Health | 12213 Town Walk Drive, Hamden, CT 06518 | 2008-12-12 |
| 1306095864 | Uttampal Singh | Dentist | 2832 Whitney Avenue- Advanced Orthodontics LLC, Suite- A, Hamden, CT 06518 | 2008-09-09 |
| 1790942100 | Wellcare of Connecticut, Inc. | Health Maintenance Organization | 2319 Whitney Avenue, 6th Floor, Hamden, CT 06518 | 2008-05-22 |
| 1720295165 | Susan Norkus | Specialist/Technologist | 275 Mt. Carmel Ave., Quinnipiac University, Hamden, CT 06518 | 2007-05-16 |
| 1447385620 | Fritz & Hawley Vision Center | Technician/Technologist | 2313 Whitney Ave, Suite 1d, Hamden, CT 06518 | 2007-02-21 |
| Find all providers in zip 06518 | ||||
| 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 |
|---|---|---|---|---|
| 1164041943 | Julie Alexandra Bass | Student in an Organized Health Care Education/Training Program | 7232 Town Walk Dr, Hamden, CT 06518-3742 | 2020-04-13 |
| 1285263699 | Erin Danielle Schirra | Student in an Organized Health Care Education/Training Program | 1588 Whitney Ave, Hamden, CT 06517-2030 | 2020-04-07 |
| 1164051769 | Allison Knowles | Student in an Organized Health Care Education/Training Program | 124 Aspen Glen Dr, Hamden, CT 06518-3795 | 2020-04-06 |
| 1801425442 | Eric James Collentro | Student in an Organized Health Care Education/Training Program | 11313 Town Walk Dr, Hamden, CT 06518-3724 | 2020-04-06 |
| 1386273860 | Bradley James Christensen | Student in an Organized Health Care Education/Training Program | 23132 Town Walk Dr, Hamden, CT 06518-3764 | 2020-04-06 |
| 1073162038 | Rodcliffe Wint | Student in an Organized Health Care Education/Training Program | 905 Mix Ave Apt 2n, Hamden, CT 06514-5114 | 2019-09-11 |
| 1770058380 | Eden Montgomery | Student in an Organized Health Care Education/Training Program | 275 Mount Carmel Ave # 5688, Hamden, CT 06518-1905 | 2018-10-10 |
| 1932631496 | Anamaria Orozco | Student in an Organized Health Care Education/Training Program | 20 Corbin Rd, Hamden, CT 06517-2907 | 2017-04-03 |
| 1518300581 | Clement Douglass Marshall | Student in an Organized Health Care Education/Training Program | 17 Rolfe St, Hamden, CT 06517-3340 | 2013-04-09 |
| 1801494570 | Daniel Jonathan Schultheis | Student in an Organized Health Care Education/Training Program | 275 Mount Carmel Ave, Hamden, CT 06518-1961 | 2020-10-14 |
| 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.