NICOLE LYNN QUAEDVLIEG (NPI# 1528668498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528668498 |
| Entity Type | Individual |
| Full Name | NICOLE LYNN QUAEDVLIEG |
| Practice Address |
6 Greenwich Office Park Greenwich CT 06831-5151 |
| Practice Telephone | 2038691145 |
| Practice Fax Number | 2036181721 |
| Mailing Telephone | 2038691145 |
| Mailing Fax Number | 2036181721 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6 GREENWICH OFFICE PARK |
| City | GREENWICH |
| State | CT |
| Zip Code | 06831-5151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144200031 | Francis Ennis | Orthopaedic Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2006-01-18 |
| 1639778988 | Alexandra Rose Touri | Physical Therapist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2020-10-19 |
| 1760094437 | Avigail Itzkowitz | Nurse Practitioner | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2020-08-23 |
| 1699306993 | Onalee Lucille Collins | Physical Therapist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2020-01-27 |
| 1790322014 | Colleen Bisaccio | Physical Therapist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2019-12-05 |
| 1568006690 | Thomas Gisin | Specialist/Technologist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2019-11-01 |
| 1003459579 | Sabrina Douglass | Physical Therapist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2019-10-28 |
| 1679122725 | Elissa Nicole Solomon | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2019-09-10 |
| 1578021416 | Christina Lynn Cauliffe | Specialist/Technologist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2019-03-11 |
| 1811455108 | Heather Kerin | Physical Therapist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2019-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700401775 | Aba Telehealth Project, LLC | Behavioral Analyst | 29 Valley Drive, #5004, Greenwich, CT 06831 | 2020-06-15 |
| 1972069466 | Maryse C Vincent | Licensed Practical Nurse | 36 Greenwich Hills Drive, Greenwich, CT 06831 | 2019-02-20 |
| 1720409766 | Livia Stephania Kijac | Psychiatry & Neurology | 10 Dwight Lane, Greenwich, CT 06831 | 2013-12-18 |
| 1114355286 | Sueli Pini Dejesus | Pharmacist | 7 Moshier St, Greenwich, CT 06831 | 2013-10-28 |
| 1386970960 | Dandan Tu | Physical Medicine & Rehabilitation | 1165 King Street, Greenwich Woods Rehabilitation & Health Care Cente, Greenwich, CT 06831 | 2009-11-02 |
| 1659606390 | Christine Speck | Social Worker | 21 Nicholas Ave, Greenwich, CT 06831 | 2009-10-14 |
| 1992991343 | Josephine A Capocci | Registered Nurse | 5 Willow Run Rd, Greenwich, CT 06831 | 2007-09-19 |
| 1841418571 | Alisa Krystyn Miller | Podiatrist | 2 Half Dearfield Dr., Greenwich, CT 06831 | 2007-04-20 |
| 1801919170 | Elsa M. Raskin Physician PC | Plastic Surgery | 2 1 2 Dearfield Drive, Suite 102, Greenwich, CT 06831 | 2007-04-09 |
| 1023150687 | Lisa Violi | Physician Assistant | 2 and One Half Dearfield Drive, Greenwich, CT 06831 | 2007-02-12 |
| Find all providers in zip 06831 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144724113 | Kevin Eric Hwang | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831 | 2018-03-22 |
| 1346750692 | Tiji Saji George | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2017-10-01 |
| 1871002147 | Nicholas Stroumbakis | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2017-09-29 |
| 1104204486 | Ariana Wong Won | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2015-05-07 |
| 1205244407 | Alexis Nedurian | Physician Assistant | 5 Perryridge Rd, Greenwich, CT 06830 | 2014-07-31 |
| 1982021812 | Orthopaedic and Neurosurgery Specialists, PC | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2014-03-28 |
| 1134556210 | Susan Paul | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2013-10-03 |
| 1487089686 | Dhara Soni | Physician Assistant | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2013-09-06 |
| 1144365016 | Joanne Nachtygal | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2007-02-20 |
| 1467504993 | Anthony Wong | Physician Assistant | 25 Valley Dr, Greenwich, CT 06831-5203 | 2007-01-17 |
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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.