MS. PAMELA BARBARA MORAN (NPI# 1417069840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417069840 |
| Entity Type | Individual |
| Full Name | MS. PAMELA BARBARA MORAN |
| Credential | RT |
| Practice Address |
555 Willard Ave Newington CT 06111-2631 |
| Mailing Address |
87 Lakeside Dr Bristol CT 06010-7379 |
| Practice Telephone | 8605946338 |
| Practice Fax Number | 8606676842 |
| Mailing Telephone | 8605946338 |
| Mailing Fax Number | 8606676842 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104284264 | Pamela Moran | Licensed Practical Nurse | 18 Forsonville Ln, Garrison, NY 10524-3845 | 2016-02-04 |
| 1558838789 | Pamela Moran | Midwife | 2045 S Vineyard Ste 136, Mesa, AZ 85210-6891 | 2018-10-25 |
| 1942487665 | Pamela Jean Moran | Registered Nurse | 1200 Main St, Point Pleasant, WV 25550-1317 | 2008-01-24 |
| 1821271578 | Pamela Sue Moran | Social Worker | 960 Century Dr, Mechanicsburg, PA 17055-4374 | 2007-12-17 |
| 1114055134 | Pamela Rene Moran | Speech-Language Pathologist | 6330 W Thunderbird Rd, Glendale, AZ 85306-4002 | 2007-03-01 |
| Street Address |
555 WILLARD AVE |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033111356 | Donald J Curran | Internal Medicine | 555 Willard Ave, Newington, CT 06111-2631 | 2005-06-01 |
| 1033730064 | Natalia Pisklak | Student in an Organized Health Care Education/Training Program | 555 Willard Ave, Newington, CT 06111-2631 | 2020-04-30 |
| 1215557756 | Nicole Elizabeth Roy | Optometrist | 555 Willard Ave, Newington, CT 06111-2631 | 2020-04-24 |
| 1982224705 | Nickolas Coombs | Student in an Organized Health Care Education/Training Program | 555 Willard Ave, Newington, CT 06111-2631 | 2020-04-22 |
| 1902426877 | Kaamya Bhandari | Student in an Organized Health Care Education/Training Program | 555 Willard Ave, Newington, CT 06111-2631 | 2020-04-21 |
| 1366062390 | Jevin Yabut | Student in an Organized Health Care Education/Training Program | 555 Willard Ave, Newington, CT 06111-2631 | 2020-04-20 |
| 1811517899 | Thuy Thanh Nguyen | Student in an Organized Health Care Education/Training Program | 555 Willard Ave, Newington, CT 06111-2631 | 2020-04-20 |
| 1891357968 | Nishka U Shetty | Student in an Organized Health Care Education/Training Program | 555 Willard Ave, Newington, CT 06111-2631 | 2019-06-28 |
| 1891356606 | Nicole Broden | Optometrist | 555 Willard Ave, Newington, CT 06111-2631 | 2019-06-23 |
| 1912562034 | Michelle Hoang Phan | Student in an Organized Health Care Education/Training Program | 555 Willard Ave, Newington, CT 06111-2631 | 2019-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952880056 | Insight To Wellness Therapeutic Services, LLC | Community/Behavioral Health | 66 Cedar St. Suite 201, Newington, CT 06111 | 2018-08-09 |
| 1356843833 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 38 Fenn Road, Newington, CT 06111 | 2018-03-01 |
| 1942719927 | Jessica Quintero-villa | Chiropractor | Judson Family Chiropractic, 133 Louis St., Newington, CT 06111 | 2017-09-22 |
| 1194245993 | Serrita Roper | Registered Nurse | 11 Edward St, Newington, CT 06111 | 2017-06-22 |
| 1417482522 | Aditi Thakkar | Student in an Organized Health Care Education/Training Program | 555 Willard Avenue, Newington Va Hospital, Newington, CT 06111 | 2017-04-26 |
| 1033562525 | Hassan Bin Attique | Student in an Organized Health Care Education/Training Program | Newington Va Hospital, Newington Vamc, Firm Chief, Firm 2, Vact Primary Care, Newington, CT 06111 | 2016-07-19 |
| 1013360098 | Home Care Associates of Ct 2 Inc | In Home Supportive Care | 66 Cedar Street, Unit 301, Newington, CT 06111 | 2016-07-14 |
| 1548623259 | Aniket Sharma | Student in an Organized Health Care Education/Training Program | Newington Va Hospital, 555 Willard Avenue, Newington Vamc, Firm Chief, Firm 2, Vact Pri, Newington, CT 06111 | 2016-03-30 |
| 1790104883 | Patrick Ogurick | Pediatrics | 141 Willard Avenue, Newington, CT 06111 | 2014-04-16 |
| 1922438217 | Susan Pollock May | Dentist | 51 Market Sq., Newington, CT 06111 | 2013-11-22 |
| Find all providers in zip 06111 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073017372 | Karen Ann Peck | Recreation Therapist | 469 Buckland Rd Ste 102, South Windsor, CT 06074-3737 | 2018-03-21 |
| 1952412629 | Michael James Rose | Recreation Therapist | 761 Woodin St, Hamden, CT 06514-4218 | 2006-08-31 |
| 1275171530 | Lisa Ann Tringali | Recreation Therapist | 28 Crescent St, Middletown, CT 06457-3654 | 2019-12-18 |
| 1629511910 | Bryan Mcfarland | Recreation Therapist | 459 Wallingford Rd, Durham, CT 06422-1125 | 2016-11-18 |
| 1841384575 | Mary Lou Lauricella | Recreation Therapist | 950 Campbell Avenue, West Haven, CT 06516 | 2006-10-03 |
| 1518060920 | Cheryl Ann Cresta | Recreation Therapist | 114 Boston Post Rd, # 152, West Haven, CT 06516-2043 | 2006-09-07 |
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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.