BETH ANN HACKETT (NPI# 1518941178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518941178 |
| Entity Type | Individual |
| Full Name | BETH ANN HACKETT |
| Credential | APRN |
| Practice Address |
97 Barnes Rd Wallingford CT 06492-1885 |
| Mailing Address |
101 N Plains Industrial Rd Wallingford CT 06492-2360 |
| Practice Telephone | 2039492700 |
| Practice Fax Number | 2039492712 |
| Mailing Telephone | 2039492700 |
| Mailing Fax Number | 2039492712 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 002927 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023574688 | Beth A Hackett | Licensed Practical Nurse | 7833 Walker Rd, Le Roy, NY 14482-8959 | 2019-02-19 |
| Street Address |
97 BARNES RD |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-1885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447234331 | Sherwin Borsuk | Radiology | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2005-12-04 |
| 1780152173 | Ashley Tighe | Physical Therapist | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2018-11-05 |
| 1497959035 | Amy Platt | Physical Therapist | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2007-06-14 |
| 1225151822 | Masonicare Home Health and Hospice, Inc. | Hospice Care, Community Based | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2007-04-09 |
| 1720154198 | Subbarao Bollepalli | Psychiatry & Neurology | 97 Barnes Rd, Suite #2, Wallingford, CT 06492-1885 | 2006-11-28 |
| 1841369717 | Erik Olsen | Physical Therapist | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2006-11-07 |
| 1649352469 | Jeffrey Jennings | Pediatrics | 97 Barnes Rd, Suite #6, Wallingford, CT 06514 | 2006-10-20 |
| 1962500504 | Kevin M Connellan | Physical Therapist | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2006-09-20 |
| 1912936246 | Harold S Wilkes | Internal Medicine | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2006-06-30 |
| 1720017049 | George Spivack | Internal Medicine | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2006-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| 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 |
|---|---|---|---|---|
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1386018299 | Christine Guilday | Nurse Practitioner | 418 Palmers Ln, Wallingford, PA 19086-6528 | 2015-11-17 |
| 1205062668 | Linda Jean Echols | Nurse Practitioner | 411 Plush Mill Rd, Wallingford, PA 19086-6024 | 2009-05-29 |
| 1538718861 | Gina Choiniere | Nurse Practitioner | 35 Marc Dr, Wallingford, CT 06492-5708 | 2019-09-09 |
| 1639317787 | Sheila Turner | Nurse Practitioner | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2009-01-28 |
| 1609956549 | Franklin Wendt | Nurse Practitioner | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2006-10-16 |
| 1194749283 | Donna L Mariano | Nurse Practitioner | 67 Masonic Ave, Suite 3100, Wallingford, CT 06492-3095 | 2006-07-26 |
| 1508880600 | Nancy M Votto | Nurse Practitioner | 67 Masonic Ave, Suite 3100, Wallingford, CT 06492-3095 | 2006-07-26 |
| 1730130709 | Donna M Trigilia | Nurse Practitioner | Gaylord Farms Rd., Wallingford, CT 06492 | 2006-05-15 |
| 1932101854 | Sandra Peccerillo | Nurse Practitioner | 1062 Barnes Rd, Wallingford, CT 06492-6012 | 2005-08-11 |
| Find all providers in WALLINGFORD | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
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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.