ADVANCE PRACTICE RESOURCE NETWORK LLC (NPI# 1497101265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497101265 |
| Entity Type | Organization |
| Organization Name | ADVANCE PRACTICE RESOURCE NETWORK LLC |
| Practice Address |
969 W Main St Suite 1 D Waterbury CT 06708-2653 |
| Practice Telephone | 2035960857 |
| Practice Fax Number | 2039000672 |
| Mailing Telephone | 2035960857 |
| Mailing Fax Number | 2039000672 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-09-07 |
| Authorized Official Name | LORI PELOSI (OWNER) |
| Authorized Official Telephone | 2035960857 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
005149 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
969 W MAIN ST SUITE 1 D |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083697114 | Jeffrey Howard Boyd | Psychiatry & Neurology | 969 W Main St, Waterbury, CT 06708-2653 | 2005-11-22 |
| 1225685811 | Thelma Afua Simpaa Osei | Nurse Practitioner | 969 W Main St, Waterbury, CT 06708-2653 | 2019-08-20 |
| 1669035390 | Jeffrey H. Boyd M.d.and Associates, Pllc | Psychiatry & Neurology | 969 W Main St, Waterbury, CT 06708-2653 | 2019-04-18 |
| 1821577487 | Brass City Counseling. | Social Worker | 969 W Main St, Waterbury, CT 06708-2653 | 2018-08-14 |
| 1558880435 | Kate Rooney | Nurse Practitioner | 969 W Main St, Waterbury, CT 06708-2653 | 2017-09-12 |
| 1861924292 | Rejuvenating Mind & Body, LLC | Social Worker | 969 W Main St, Suite 2g, Waterbury, CT 06708-2653 | 2017-04-03 |
| 1265972681 | Latanya Bizor, Lcsw,llc | Social Worker | 969 W Main St, Ste 2g, Waterbury, CT 06708-2653 | 2017-03-04 |
| 1699218602 | Holistic Services Inc | Social Worker | 969 W Main St, Suite 1 D, Waterbury, CT 06708-2653 | 2016-11-22 |
| 1902269194 | Ronald Baptiste | Counselor | 969 W Main St, Waterbury, CT 06708-2653 | 2016-04-04 |
| 1871983239 | Holistic Services LLC | Nurse Practitioner | 969 W Main St, 1 D, Waterbury, CT 06708-2653 | 2015-01-23 |
| Find all providers in the same location | ||||
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559248 | Agape Family Medical Center LLC | Nurse Practitioner | 1078 W Main St Ste 3, Waterbury, CT 06708-2651 | 2020-08-21 |
| 1508375080 | Christina Audet Solomito | Nurse Practitioner | 133 Scovill St Ste 306, Waterbury, CT 06706-1127 | 2017-09-27 |
| 1558886671 | Macaela Cirish | Nurse Practitioner | 3801 East Main Street, Second Floor, Waterbury, CT 06705 | 2017-08-09 |
| 1609323070 | Laila Jones | Nurse Practitioner | 170 Grandview Ave Ste 1, Waterbury, CT 06708-2577 | 2016-09-02 |
| 1124484357 | Melanie M.f. Nesprido | Nurse Practitioner | 60 Westwood Ave Ste 100, Waterbury, CT 06708-2460 | 2016-01-04 |
| 1447651690 | Matthew L Balanda | Nurse Practitioner | 1389 W Main St Ste 205, Waterbury, CT 06708-3115 | 2014-09-08 |
| 1831523638 | Eileen Anne Knox | Nurse Practitioner | 1253 W Main St, Waterbury, CT 06702-1418 | 2013-08-28 |
| 1033414867 | Steven Paul Jeske | Nurse Practitioner | 276 Highland Ave Ste A2, Waterbury, CT 06708 | 2011-01-26 |
| 1982853263 | Leah Lucarelli | Nurse Practitioner | 80 Phoenix Ave Ste 101, Waterbury, CT 06702-1418 | 2008-09-11 |
| 1891836110 | Michelle Lynn Kennedy | Nurse Practitioner | 51 N Elm St, Waterbury, CT 06702-1511 | 2007-02-09 |
| 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.