NICOLE DUKETT (NPI# 1457610800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457610800 |
| Entity Type | Individual |
| Full Name | NICOLE DUKETT |
| Credential | APRN |
| Practice Address |
40 Mansfield Ave Willimantic CT 06226-2018 |
| Practice Telephone | 8604507471 |
| Practice Fax Number | 8604500213 |
| Mailing Telephone | 8604507471 |
| Mailing Fax Number | 8604500213 |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
004963 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 Capital Blvd, Rocky Hill, CT 060673576 | 8602125708 |
| Street Address |
40 MANSFIELD AVE |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346228905 | Generations Family Health Center, Inc. | Clinic/Center | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2006-01-04 |
| 1104442771 | Ariye M Krassner | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2020-06-19 |
| 1699239293 | Jung Mi De Thouars | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2019-01-28 |
| 1982176020 | Chinwendu Jennifer Chukwudike | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2018-12-31 |
| 1740755750 | Lacy Kornilieff | Social Worker | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2018-10-05 |
| 1710482104 | Christine Louise Rosales | Counselor | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2018-03-27 |
| 1295244135 | Susie Bernado | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2017-09-22 |
| 1487109617 | Laura Nicole Sabourin | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2016-08-17 |
| 1487011680 | Kerry Silva | Marriage & Family Therapist | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2016-01-20 |
| 1194100065 | Brett Robertson | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2015-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669962163 | Nutmeg Neuropsychology LLC | Psychologist | 322 Main St Ste 2e-1o, Willimantic, CT 06226 | 2018-05-10 |
| 1104344365 | Taylor Girard | Social Worker | 54-56 Boston Post Road, Willimantic, CT 06226 | 2017-09-07 |
| 1194268490 | Donald Diange | Pharmacist | 1391 Main Street, Willimantic, CT 06226 | 2016-11-18 |
| 1386988954 | Gale K Lockland | Psychologist | 112 Mansfield Avenue, Windham Community Memorial Hospital, Willimantic, CT 06226 | 2012-11-20 |
| 1831343060 | Carlita R Baldwin | Counselor | 366 Ash Street, Unit 4, Willimantic, CT 06226 | 2008-11-14 |
| 1023211190 | Joel Lee Reinholtz | Physical Therapy Assistant | 595 Valley Street, Windham, CT 06226 | 2007-06-07 |
| 1265654719 | Mcsweeney Regional Senior Center | Clinic/Center | 47 Crescent St, Willimantic, CT 06226 | 2007-05-03 |
| 1912012964 | John Wescott Stevens | Dentist | 1581 W Main St, Willmantic, CT 06226 | 2006-08-20 |
| 1801802756 | Kathryn Nelson | Family Medicine | 355 High Street, Willimantic, CT 06226 | 2006-07-31 |
| 1710914379 | The Foot Group, LLC | Podiatrist | 162 A Mansfield Ave, Willimantic, CT 06226 | 2006-06-27 |
| Find all providers in zip 06226 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620065 | Alisa B Bray | Nurse Practitioner | 112 Mansfield Ave, Willimantic, CT 06226-2045 | 2019-10-08 |
| 1699239293 | Jung Mi De Thouars | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2019-01-28 |
| 1831601228 | Karen Anderson Zott | Nurse Practitioner | 355 High St, Willimantic, CT 06226-1306 | 2017-10-25 |
| 1487109617 | Laura Nicole Sabourin | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2016-08-17 |
| 1194100065 | Brett Robertson | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2015-07-21 |
| 1265821581 | Erica Lyons | Nurse Practitioner | 40 Mansfield Ave, Generations Family Health Center, Willimantic, CT 06226-2018 | 2015-01-12 |
| 1598070989 | Danielle Digeronimo | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2010-08-10 |
| 1861456774 | Naida E. Arcenas | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1023618634 | Jessica Anne Butt | Nurse Practitioner | 93 E Putnam Rd, Putnam, CT 06260-2824 | 2020-11-01 |
| 1962002691 | Marielle Hellerud Khuen | Nurse Practitioner | 39 Fifth St, Norwalk, CT 06855-2402 | 2020-10-30 |
| 1043810013 | Alexa L Carolan | Nurse Practitioner | 24 Penny Ln, Watertown, CT 06795-1734 | 2020-10-29 |
| 1891394219 | Azra Alagic | Nurse Practitioner | 374 Cypress Rd, Newington, CT 06111-5616 | 2020-10-19 |
| 1396352589 | Jeffrey Kiser | Nurse Practitioner | 123 Sisson Ave Fl 3, Hartford, CT 06106-1136 | 2020-09-30 |
| 1932716628 | Tabia Thompson-lamothe | Nurse Practitioner | 16 Woodhill Rd, Trumbull, CT 06611-3356 | 2020-09-26 |
| 1356958243 | Lisa Solari | Nurse Practitioner | 34 Centerwood Rd, Newington, CT 06111-3107 | 2020-09-25 |
| 1558977801 | Megan Bouchard | Nurse Practitioner | 2351 Summer St, Stamford, CT 06905-4504 | 2020-09-22 |
| 1316553233 | Anylen Ruiz Ayala | Nurse Practitioner | 109 W Center St, Manchester, CT 06040-4917 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | WILLIMANTIC |
| Zip Code | 06226 |
Please comment or provide details below to improve the information on NICOLE DUKETT.
| 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.