KEYANNA WRIGHT (NPI# 1457965618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457965618 |
Entity Type | Individual |
Full Name | KEYANNA WRIGHT |
Practice Address |
79 Beacon St Waterbury CT 06704-3424 |
Mailing Address |
141 E Main St Waterbury CT 06702-2310 |
Practice Telephone | 2035749000 |
Practice Fax Number | 2035749006 |
Mailing Telephone | 2035749000 |
Mailing Fax Number | 2035749006 |
Enumeration Date | 2020-09-04 |
Last Update Date | 2020-09-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
79 BEACON ST |
City | WATERBURY |
State | CT |
Zip Code | 06704-3424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801069901 | Ann T. Cook | Social Worker | 79 Beacon St, Waterbury, CT 06704-3424 | 2008-04-09 |
1427655083 | Sri Johnson | Student in an Organized Health Care Education/Training Program | 79 Beacon St, Waterbury, CT 06704-3424 | 2020-10-07 |
1306453816 | Taylor Ohayon | Student in an Organized Health Care Education/Training Program | 79 Beacon St, Waterbury, CT 06704-3424 | 2020-09-29 |
1811509102 | Katherine Rodriguez | Student in an Organized Health Care Education/Training Program | 79 Beacon St, Waterbury, CT 06704-3424 | 2020-08-19 |
1932755931 | Gena Orten | Student in an Organized Health Care Education/Training Program | 79 Beacon St, Waterbury, CT 06704-3424 | 2019-08-15 |
1861989808 | Rachel Carriera | Counselor | 79 Beacon St, Waterbury, CT 06704-3424 | 2018-04-16 |
1801398078 | Kimberly Bellonio | Community Health Worker | 79 Beacon St, Waterbury, CT 06704-3424 | 2018-03-05 |
1437662210 | Ileana Maldonado | Counselor | 79 Beacon St, Waterbury, CT 06704-3424 | 2017-11-15 |
1093167173 | Dainette Lynch | Community Health Worker | 79 Beacon St, Women and Childrens Program, Waterbury, CT 06704-3424 | 2016-07-12 |
1184089724 | Tanisha M Jones | Community Health Worker | 79 Beacon St, Women and Children's Program, Waterbury, CT 06704-3424 | 2015-12-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104436757 | John Franco Deleo | Physical Therapist | 8 S Commons Road, Waterbury, CT 06704 | 2020-08-07 |
1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
1801446554 | George Ahyia Osae Jr. | Physician Assistant | 67 Buckland Dr, Waterbury, CT 06704 | 2019-09-16 |
1730629551 | Camille Lois Thomas | Licensed Practical Nurse | 64 Santoro St, Waterbury, CT 06704 | 2017-02-27 |
1083925689 | Allan Majeski | Speech-Language Pathologist | 100 Blueridge Drive Extension, Waterbury, CT 06704 | 2010-06-29 |
1417273384 | Michael Augustine | Marriage & Family Therapist | 678 Chase Parkway, Waterbury, CT 06704 | 2010-04-16 |
1750606000 | Cheryl Lynn Wilson | Social Worker | 103 Kara Drive, Waterbury, CT 06704 | 2010-03-30 |
1821212101 | Cesar Augusto Pascal | Dentist | Waterbury Dental Care P.C., 558 Chase Avenue, Waterbury, CT 06704 | 2007-04-11 |
1639204688 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 8 South Commons Road, Waterbury, CT 06704 | 2007-02-22 |
1053850578 | Erica Jo Cracco | Pharmacist | 240 Chase Ave, Waterbury, CT 06704 | 2017-02-16 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033748975 | Anxhela Kulla | Student in an Organized Health Care Education/Training Program | 93 Cedar Ave, Waterbury, CT 06705-2702 | 2020-04-03 |
1902433766 | Zuhal Gokturk | Student in an Organized Health Care Education/Training Program | 56 Franklin St Dept Of, Waterbury, CT 06706-1253 | 2020-03-23 |
1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
1699272625 | Behnoud Baradaran Noveiry | Student in an Organized Health Care Education/Training Program | 56 Franklin St Ste 1, Waterbury, CT 06706-1281 | 2018-04-06 |
1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
1770938508 | Andrew Camacho | Student in an Organized Health Care Education/Training Program | 160 Robbins St., Chase Outpatient Center, Waterbury, CT 06708-2613 | 2016-04-29 |
1134591605 | Christine Oliver | Student in an Organized Health Care Education/Training Program | 54 South Main Street, Newtown Clinical Services, Waterbury, CT 06710-2169 | 2015-10-23 |
1861893026 | Gopi Durlabhji Ukani | Student in an Organized Health Care Education/Training Program | 59 Sharon Rd Apt 6, Waterbury, CT 06705-4032 | 2014-09-08 |
1073874202 | Dykea Torres | Student in an Organized Health Care Education/Training Program | 79 Beacon Street, Waterbury, CT 06704-1701 | 2012-06-05 |
1750570222 | Camera Aquila Quebec | Student in an Organized Health Care Education/Training Program | 182 Grand St Fl 4, Waterbury, CT 06702-1914 | 2007-10-19 |
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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.