MISS JESSE MARIE KAVUMPURATH (NPI# 1427451004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427451004 |
Entity Type | Individual |
Full Name | MISS JESSE MARIE KAVUMPURATH |
Credential | APRN, FNP-BC |
Practice Address |
119 S Main St Colchester CT 06415-1456 |
Mailing Address |
312 Chamberlain Hwy Kensington CT 06037-1926 |
Practice Telephone | 8663892727 |
Mailing Telephone | 8608285956 |
Enumeration Date | 2014-09-26 |
Last Update Date | 2014-09-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
005838 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
119 S MAIN ST |
City | COLCHESTER |
State | CT |
Zip Code | 06415-1456 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437687282 | Amy Scheel | Nurse Practitioner | 119 S Main St, Colchester, CT 06415-1456 | 2017-05-24 |
1265786917 | Mallory Simpson Breitmaier | Nurse Practitioner | 119 S Main St, Minuteclinic, Colchester, CT 06415-1456 | 2012-11-02 |
1003145525 | Suburban Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 119 S Main St, Colchester, CT 06415-1456 | 2009-12-11 |
1245334176 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 119 S Main St, Colchester, CT 06415-1456 | 2006-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225553571 | Coleman Pediatric Therapy LLC | Occupational Therapist | 155 Boretz Rd, Colchester, CT 06415 | 2017-08-08 |
1811346224 | Katie Coleman | Occupational Therapist | 155 Boretz Road, Colchester, CT 06415 | 2016-06-07 |
1104217637 | Beyond Autism Counseling Services and Supportive Guidance | Community/Behavioral Health | 85 Broadway Street, Colchester, CT 06415 | 2015-02-05 |
1235488701 | Jennifer Grandpre | Physical Therapist | 7 Park Avenue Suite 4, Colchester, CT 06415 | 2012-08-30 |
1174781660 | Mark Cahill | Acupuncturist | 79b Norwich Ave, Colchester, CT 06415 | 2008-05-30 |
1417166232 | Shelly Lynn Ceceri | Physical Therapy Assistant | 59 Harirington Court, Colchester, CT 06415 | 2007-05-21 |
1134341142 | Susan Gene Pugatch | Physical Therapist | 59 Harrington Court, Colchester, CT 06415 | 2007-05-02 |
1669699377 | Janice K. Loomis | Marriage & Family Therapist | 244 South Main St, Colchester, CT 06415 | 2007-04-20 |
1952439176 | Dona Gioco Hoff | Social Worker | 139 Mill Hill Rd, Colchester, CT 06415 | 2007-03-01 |
1194875294 | Mary-margaret Ellen Freier | Psychologist | 4 Van Cedarfield Rd., Colchester, CT 06415 | 2007-01-11 |
Find all providers in zip 06415 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215553730 | Maura Powers | Nurse Practitioner | 33 Farm Gate Rd, Colchester, CT 06415-2622 | 2020-06-20 |
1528533700 | Jessica Lynn Cromie | Nurse Practitioner | 71 Horizon Vw, Colchester, VT 05446-6928 | 2018-10-03 |
1760495782 | Barbara Pokorny | Nurse Practitioner | 119 Broadway St, Colchester, CT 06415-1022 | 2006-08-14 |
1336163971 | Tara Jenet Abele | Nurse Practitioner | 270 Stone Dr, Colchester, VT 05446-5742 | 2006-07-27 |
1487636288 | Louise Moon Rosales | Nurse Practitioner | 1 Winooski Park, Colchester, VT 05439-0001 | 2005-11-17 |
1437687282 | Amy Scheel | Nurse Practitioner | 119 S Main St, Colchester, CT 06415-1456 | 2017-05-24 |
1295114585 | Christopher Ingvoldstad | Nurse Practitioner | 883 Blakely Rd, Uvm Medical Center, Family Medicine - Colchester, Colchester, VT 05446-4417 | 2015-05-20 |
1265855068 | Kathi Jean Karp | Nurse Practitioner | 163 Broadway St, Colchester, CT 06415-1022 | 2014-01-29 |
1265786917 | Mallory Simpson Breitmaier | Nurse Practitioner | 119 S Main St, Minuteclinic, Colchester, CT 06415-1456 | 2012-11-02 |
1407020019 | Tonya H Howard | Nurse Practitioner | 790 College Pkwy, Colchester, VT 05446-3007 | 2008-04-15 |
Find all providers in COLCHESTER |
City | COLCHESTER |
Zip Code | 06415 |
Please comment or provide details below to improve the information on MISS JESSE MARIE KAVUMPURATH.
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.