MS. MICHELLE MARIE KING (NPI# 1487033858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487033858 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE MARIE KING |
| Credential | APRN |
| Practice Address |
170 Grandview Ave Waterbury CT 06708-2525 |
| Practice Telephone | 2037593666 |
| Mailing Telephone | 2037593666 |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2016-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
095549 | CT | Nursing Service Providers |
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
095549 | CT | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 6216 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
6216 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194355230 | Michelle Nicole King | Marriage & Family Therapist | 757 Martin Ave, Hudson, WI 54016-7762 | 2020-01-16 |
| 1629617972 | Michelle King | Technician, Pathology | 2508 Birds Nest Cactus Ct, Las Vegas, NV 89106-1439 | 2020-01-04 |
| 1235612714 | Michelle Marie King | Behavioral Analyst | 21 Falling Leaf Ln, Elgin, SC 29045-8333 | 2018-09-11 |
| 1497279780 | Michelle King | Marriage & Family Therapist | 2665 30th St Ste 214, Santa Monica, CA 90405-3025 | 2017-07-28 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| 1598186728 | Michelle King | Social Worker | 3090 N 12th Street, Unit B, Grand Junction, CO 81506-2804 | 2013-12-13 |
| 1184978777 | Michelle M King | Licensed Practical Nurse | 37 Meadow Dr, Webster, NY 14580-3456 | 2012-11-03 |
| 1689983231 | Michelle King | Counselor | 2425 Southmore Blvd, Houston, TX 77004-7418 | 2010-09-30 |
| 1083868301 | Michelle Taylor King | Speech-Language Pathologist | 2407 Wildburne Ct, Charlotte, NC 28262-9220 | 2008-11-13 |
| 1528180452 | Michelle M King | Chiropractor | 21 Williamsburg Ln, Chico, CA 95926-2225 | 2007-04-04 |
| Street Address |
170 GRANDVIEW AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710904404 | Ann Lorraine Hume | Internal Medicine | 170 Grandview Ave, Waterbury, CT 06708-2525 | 2006-07-17 |
| 1669767059 | Jameel Uddeen | Internal Medicine | 170 Grandview Ave, Waterbury, CT 06708-2525 | 2011-06-14 |
| 1912296419 | Jennifer Elizabeth Ouellette | Nurse Practitioner | 170 Grandview Ave, Waterbury, CT 06708-2525 | 2011-04-05 |
| 1386951747 | Vanessa Yap | Internal Medicine | 170 Grandview Ave, Waterbury, CT 06708-2525 | 2010-09-08 |
| 1508182965 | Sheila Jane Tan Zanoria | Internal Medicine | 170 Grandview Ave, Waterbury, CT 06708 | 2010-04-09 |
| 1053599902 | Ferdinando Urbano | Internal Medicine | 170 Grandview Ave, Waterbury, CT 06708 | 2008-02-02 |
| 1669501532 | Waterbury Pulmonary Associates | Internal Medicine | 170 Grandview Ave, Waterbury, CT 06708-2513 | 2007-03-05 |
| 1548336258 | Carolyn Ann Roderick | Physician Assistant | 170 Grandview Ave, Waterbury, CT 06708-2525 | 2006-11-27 |
| 1770695140 | Sandra J Dock | Physician Assistant | 170 Grandview Ave, Waterbury, CT 06708-2525 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255972964 | Geeta Sharma | Nurse Practitioner | 1389 W Main St Ste 224, Waterbury, CT 06708-3104 | 2019-10-03 |
| 1255972022 | Naugatuck Valley Counseling and Med Management | Nurse Practitioner | 276 Highland Ave Ste 2, Waterbury, CT 06708-3022 | 2019-10-03 |
| 1598318206 | Kirsten P. Fitzgerald | Nurse Practitioner | 21 W Main St Fl Place3, Waterbury, CT 06702-2013 | 2019-07-22 |
| 1346749884 | Novelyn Culbengan Cosmiano | Nurse Practitioner | 276 Highland Ave Ste 2a1, Waterbury, CT 06708-3022 | 2018-02-11 |
| 1437508264 | Faith Hudson | Nurse Practitioner | 68 Alyce Ter, Waterbury, CT 06708-1567 | 2016-06-13 |
| 1821405127 | Brandon Pervis Sr. | Nurse Practitioner | 558 Chase Ave Ste 9, Waterbury, CT 06704-1947 | 2014-07-18 |
| 1104114149 | Olubukola Awe | Nurse Practitioner | 140 Grandview Ave Ste L01, Waterbury, CT 06708-2500 | 2011-07-12 |
| 1912909524 | Eileen Pond Levine | Nurse Practitioner | 455 Chase Pkwy Fl 3, Waterbury Hospital, Waterbury, CT 06708-3352 | 2005-08-12 |
| 1992706832 | Christina Baden | Nurse Practitioner | 77 Woodlawn Ter, Waterbury, CT 06710-1721 | 2005-08-02 |
| 1124663653 | Adrienne T Lofton | Nurse Practitioner | 133 Scovill St Ste 101, Waterbury, CT 06706-1127 | 2019-11-07 |
| Find all providers in WATERBURY | ||||
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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.