LISA MARIA KEGEL (NPI# 1518186808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518186808 |
| Entity Type | Individual |
| Full Name | LISA MARIA KEGEL |
| Credential | N.P. |
| Practice Address |
439 Mill Hill Ave Bridgeport CT 06610 |
| Mailing Address |
439 Mill Hill Ave Bridgeport CT 06610-2866 |
| Practice Telephone | 2033342100 |
| Mailing Telephone | 2033342100 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
002513 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
002513 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 256 Seaside Ave, Milford, CT 06460 | 2036932350 | |
| 439 Mill Hill Ave, Bridgeport, CT 06610 | 2033342100 | |
| 52 Beach Rd, Fairfield, CT 068246017 | 2033342100 | |
| 5520 Park Ave Ste Wp2-200, Trumbull, CT 066113463 | 2037096000 |
| Street Address |
439 MILL HILL AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598763252 | Zosimo Adefuin | Specialist | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2005-07-07 |
| 1205458809 | Jean-a'layn Segalla | Registered Nurse | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2020-05-18 |
| 1609428721 | Janice Tavares | Registered Nurse | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2019-07-09 |
| 1437318649 | Suhash R Patel | Internal Medicine | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2008-06-03 |
| 1154503209 | Irma Fotjadhi | Internal Medicine | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2007-11-30 |
| 1487785838 | Luis E Rojas | Nurse Practitioner | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2007-03-08 |
| 1902957970 | Advanced Cardiovascular Specialists PC | Nurse Practitioner | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2007-01-16 |
| 1134276694 | Michael Logue | Internal Medicine | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2007-01-05 |
| 1184622656 | Adolfo J Luciano | Internal Medicine | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2005-07-08 |
| 1366440026 | Doron Amir | Internal Medicine | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2005-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| 1922532746 | Megha Kureti | Student in an Organized Health Care Education/Training Program | 267 Grant St Fl 3, Bridgeport, CT 06610 | 2017-04-18 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| Find all providers in zip 06610 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588979413 | Theresa M Soltis | Nurse Practitioner | 2979 Main Street, Bridgeport, CT 06606 | 2010-08-16 |
| 1962913228 | Catherine Phyllis Cuteri | Nurse Practitioner | 2800 Main St, Bridgeport, CT 06606-4201 | 2017-10-13 |
| 1326565342 | Monika Jean Maclean | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2017-08-30 |
| 1891199980 | Elisabeth Henvy | Nurse Practitioner | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2014-10-17 |
| 1700187192 | Amelita L Richard | Nurse Practitioner | 2800 Main St, Bridgeport, CT 06606-4201 | 2010-11-16 |
| 1659520153 | Deborah Brown | Nurse Practitioner | 2800 Main St, Bridgeport, CT 06606-4201 | 2008-09-09 |
| 1073547568 | Patricia Ann O'neill | Nurse Practitioner | 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610-2826 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997847 | Rachel Sarmento | Nurse Practitioner | 13 Sanford Dr, Shelton, CT 06484-5507 | 2020-09-23 |
| 1699399618 | Ann Monica Boisvert | Nurse Practitioner | 5 Perryridge Rd Ste 2-248, Greenwich, CT 06830-4608 | 2020-06-05 |
| 1861041121 | Huong T Nguyen | Nurse Practitioner | 400 Capital Blvd Ste 3, Rocky Hill, CT 06067-3576 | 2019-09-10 |
| 1598319980 | Daniella Gould | Nurse Practitioner | 75 Kings Highway Cutoff Ofc, Fairfield, CT 06824-5340 | 2019-07-24 |
| 1770042038 | Linda Lee Meyer | Nurse Practitioner | 320 Lakeview Ave, Waterbury, CT 06705-2145 | 2019-03-17 |
| 1942766761 | Lawrence M Anderson | Nurse Practitioner | 92 Harwood Rd, Waterbury, CT 06706-2420 | 2019-02-17 |
| 1912497751 | Catherine Rice | Nurse Practitioner | 25 Commerce Rd, Newtown, CT 06470-1607 | 2018-05-17 |
| 1407346323 | Irene D Gumboc | Nurse Practitioner | 99 Starr St, Norwich, CT 06360-4025 | 2018-05-16 |
| 1326546839 | Kristin Holly Van Horn | Nurse Practitioner | Winchester Chest Clinic, 789 Howard St, New Haven, CT 06510 | 2018-01-30 |
| 1891207411 | Michelene Wray | Nurse Practitioner | 474 Cowperthwaite St Apt C, Danbury, CT 06811-5518 | 2017-11-05 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06610 |
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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.