MRS. MICHELLE A MATTIACCIO (NPI# 1386710176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386710176 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE A MATTIACCIO |
| Credential | APRN BC |
| Practice Address |
88 Grandview Ave Waterbury CT 06708-2509 |
| Mailing Address |
4 Midland Rd Waterbury CT 06705-3412 |
| Practice Telephone | 2035737500 |
| Practice Fax Number | 2035736575 |
| Mailing Telephone | 2037558874 |
| Mailing Fax Number | 2035979570 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2014-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
003538 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
88 GRANDVIEW AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912989468 | Jeannette Z Mitrukiewicz | Social Worker | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2005-11-18 |
| 1720616246 | Susan Antoinette Pappas | Nurse Practitioner | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2020-03-30 |
| 1124592274 | Deon Johnson-allen | Nurse Practitioner | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2019-01-11 |
| 1245741701 | Tracy Follert | Counselor | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2017-10-23 |
| 1770992471 | Margaret Lapointe | Counselor | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2014-08-06 |
| 1285049742 | Ryan Daniel Doyle | Psychiatry & Neurology | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2014-06-24 |
| 1295095768 | Shannon Haluchak | Counselor | 88 Grandview Ave, Behavioral Health of Waterbury Hospital, Waterbury, CT 06708-2509 | 2012-05-18 |
| 1154574051 | Julie Marie Piepenbring | Social Worker | 88 Grandview Ave, Behavioral Health of Waterbury Hospital, Waterbury, CT 06708-2509 | 2008-10-23 |
| 1427208636 | Tracy Starbird | Counselor | 88 Grandview Ave, Behavioral Health of Waterbury Hospital, Waterbury, CT 06708-2509 | 2008-09-24 |
| 1639325574 | Samaria Erica Greene | Counselor | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2008-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770042038 | Linda Lee Meyer | Nurse Practitioner | 320 Lakeview Ave, Waterbury, CT 06705-2145 | 2019-03-17 |
| 1942766761 | Lawrence M Anderson | Nurse Practitioner | 92 Harwood Rd, Waterbury, CT 06706-2420 | 2019-02-17 |
| 1093984189 | Jaye C. Howes | Nurse Practitioner | 1389 W Main St Ste 106, Waterbury, CT 06708 | 2008-02-22 |
| 1013942465 | Nancy Lou Kline | Nurse Practitioner | 133 Scovill Street-waterbury Va Community Based Clinic, #203, Waterbury, CT 06706 | 2006-07-12 |
| 1356392930 | Cardiology Associates of Waterbury, PC | Nurse Practitioner | 455 Chase Pkwy, Waterbury, CT 06708-3303 | 2006-05-16 |
| 1881207595 | Samuel Asare Asomaning | Nurse Practitioner | 276 Highland Ave Ste A2, Waterbury, CT 06708-3022 | 2020-08-24 |
| 1780235697 | Janet Njuguna | Nurse Practitioner | 276 Highland Ave Ste A2, Waterbury, CT 06708-3022 | 2019-09-23 |
| 1447639208 | Kevin Reddington | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708-2600 | 2015-05-27 |
| 1164810826 | Suzan Shehu | Nurse Practitioner | 500 Chase Pkwy, Suite 201, Waterbury, CT 06708-3346 | 2015-01-05 |
| 1407159833 | Cardiology Associates of Greater Waterbury LLC | Nurse Practitioner | 455 Chase Pkwy, Waterbury, CT 06708 | 2010-12-07 |
| Find all providers in WATERBURY | ||||
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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.