MRS. MARYELLIN FLYNN (NPI# 1417217431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417217431 |
| Entity Type | Individual |
| Full Name | MRS. MARYELLIN FLYNN |
| Credential | APRN, NP |
| Practice Address |
University of Connecticut Health Ctr Uconn Homecare Program - Office C1357 Farmington CT 06030-2103 |
| Practice Telephone | 8604806501 |
| Mailing Telephone | 8604806501 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2014-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | E53483 | CT | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4916 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
UNIVERSITY OF CONNECTICUT HEALTH CTR UCONN HOMECARE PROGRAM - OFFICE C1357 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376540906 | John Dale Nash | Obstetrics & Gynecology | University of Connecticut Health Ctr, 263 Farmington Avenue - Mc1614, Farmington, CT 06030-0001 | 2005-06-28 |
| 1871878090 | Jamie Kate Gooch | Nurse Practitioner | University of Connecticut Health Ctr, 263 Farmington Ave., Farmington, CT 06030-0001 | 2011-10-19 |
| 1851686257 | Nisha Shankar | Student in an Organized Health Care Education/Training Program | University of Connecticut Health Ctr, Farmington, CT 06030-0001 | 2011-06-14 |
| 1700191947 | Hermina Deepika Fernandes | Student in an Organized Health Care Education/Training Program | University of Connecticut Health Ctr, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2010-08-12 |
| 1275853798 | Victoria Odesina | Nurse Practitioner | University of Connecticut Health Ctr, 263 Farmington Avenue, Mc 6206, Farmington, CT 06030-0001 | 2010-06-07 |
| 1528264165 | Christopher Michael Beus | Dentist | University of Connecticut Health Ctr, Endodontology, School of Dental Medicine, Farmington, CT 06030-0001 | 2007-06-21 |
| 1831394352 | Yung Kyun Kim | Dentist | University of Connecticut Health Ctr, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2007-06-15 |
| 1164588091 | Michelle Kelley | Nurse Practitioner | University of Connecticut Health Ctr, 263 Farmington Avenue, Mc-1111, Farmington, CT 06030-0001 | 2006-12-28 |
| 1710924766 | Dana R Crino | Internal Medicine | University of Connecticut Health Ctr, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
| 1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
| 1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
| 1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
| 1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
| Find all providers in zip 06030 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1376042069 | Andrea Louise Crawford | Nurse Practitioner | 205 W Harrison St, Farmington, MO 63640-2509 | 2018-02-07 |
| 1235505694 | Suzanne Alexis | Nurse Practitioner | 218 Fairbanks Rd, Farmington, ME 04938-5773 | 2015-08-19 |
| 1669796652 | Terri Dawn Fortner | Nurse Practitioner | 1001 W. Broadway, Farmington, NM 87401 | 2010-03-18 |
| 1912166844 | Cathy B Poe | Nurse Practitioner | 234 N Schwartz Ave, Farmington, NM 87401-5547 | 2008-06-05 |
| 1922276708 | Anastasia Okoniewski | Nurse Practitioner | University of Ct Health Center, 263 Farmington Avenue Mc2103, Farmington, CT 06030-0001 | 2008-02-14 |
| 1770542524 | Heather Lee Spear | Nurse Practitioner | John Dempsey Hospital, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2006-03-21 |
| 1558347385 | Sylvia Irene Ingerson | Nurse Practitioner | 213 Titcomb Hill Rd, Unit B4, Farmington, ME 04938-5639 | 2005-12-22 |
| 1538142435 | Jill Leslie Duboff-jacomini | Nurse Practitioner | 10 Talcott Notch Rd, Farmington, CT 06032-1800 | 2005-11-23 |
| 1770192106 | Sarah Theo Porter | Nurse Practitioner | 291 S 200 W, Farmington, UT 84025-2419 | 2020-07-31 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06030 |
Please comment or provide details below to improve the information on MRS. MARYELLIN FLYNN.
| 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.