ANNA CAMACHO (NPI# 1558632257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558632257 |
| Entity Type | Individual |
| Full Name | ANNA CAMACHO |
| Credential | APRN |
| Practice Address |
158 Pomfret St Putnam CT 06260 |
| Mailing Address |
158 Pomfret St Putnam CT 06260-1800 |
| Practice Telephone | 8609632250 |
| Practice Fax Number | 8662817088 |
| Mailing Telephone | 8609632250 |
| Mailing Fax Number | 8662817088 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2018-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4926 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
4926 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
004926 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 263 Farmington Ave, Neonatal Intensive Care Unit, Farmington, CT 060304035 | 8606792397 | |
| 114 Woodland St, Hartford, CT 061051208 | 8607144404 | |
| 41 Brewster Rd, Bristol, CT 060105141 | 8605853000 |
| Street Address |
158 POMFRET ST |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154352516 | Alexander - Mahendran | Internal Medicine | 158 Pomfret St, Putnam, CT 06260-1800 | 2006-07-05 |
| 1639777576 | Alyssa Kirby Horowitz | Naturopath | 158 Pomfret St, Putnam, CT 06260-1855 | 2020-10-13 |
| 1568947026 | Anna Licciardo | Naturopath | 158 Pomfret St, Putnam, CT 06260-1800 | 2018-10-01 |
| 1043741937 | Duncan Heard | Naturopath | 158 Pomfret St, Putnam, CT 06260-1800 | 2017-03-23 |
| 1033142492 | Putnam Cardiology Associates, P.C. | Internal Medicine | 158 Pomfret St, Putnam, CT 06260-1800 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
| 1649896390 | Bethany Barrette | Behavior Technician | 682 Providence Pike Suite E, Putnam, CT 06260 | 2020-06-18 |
| 1902450448 | Jillian Bellman | Registered Nurse | 391 Pomfret Street, Putnam, CT 06260 | 2019-08-01 |
| 1285297390 | Jourhana Colon | Behavior Technician | 62 Providence Pike Ste E, Putnam, CT 06260 | 2019-04-16 |
| 1457839417 | Amplisound, Inc. | Hearing Instrument Specialist | 19 Quinebaug Avenue, Putnam, CT 06260 | 2018-08-01 |
| 1184095960 | Lori Bergeron | Counselor | 391 Pomret Street, Putnam, CT 06260 | 2015-10-19 |
| 1558619957 | Merinessa Macayaon Quintilla | Physical Therapist | 10 Thurber Road, Genesis - Matulaitis Nursing Home, Putnam, CT 06260 | 2012-08-16 |
| 1235496936 | Mohsin Haseeb | Internal Medicine | Day Kimball Hospital, 320 Pomfret Street, Putnam, CT 06260 | 2012-04-18 |
| 1588932529 | Lifehouse Community Care, LLC | Home Health | 554 Liberty Highway Unit 2, Putnam, CT 06260 | 2011-12-05 |
| 1942433032 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 57 Providence Pike, Putnam, CT 06260 | 2009-08-24 |
| Find all providers in zip 06260 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528363504 | Angela Marie Craft | Nurse Practitioner | 366 Lambert Rd, Orange, CT 06477-3004 | 2011-01-21 |
| 1215167747 | Stacey H Rubin | Nurse Practitioner | 43 Wyndwood Road, West Hartford, CT 06107 | 2009-07-17 |
| 1265042881 | Taylor Nicole Vetrano | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-08-07 |
| 1447807383 | Ashley E. Bourassa | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2019-08-26 |
| 1285286765 | Laura Kathryn Lissner | Nurse Practitioner | 282 Washington St, Hartford, CT 06106-3322 | 2019-07-15 |
| 1396244844 | Caroline Margaret Dempsey | Nurse Practitioner | 282 Washington St, Hartford, CT 06106 | 2018-02-09 |
| 1881139350 | Susan Beebe | Nurse Practitioner | Uconn Health Ctr, 263 Farmington Ave., Farmington, CT 06030-0001 | 2016-12-19 |
| 1487029195 | Stephanie Mary Norrgard | Nurse Practitioner | 114 Woodland St, Neonatal Intensive Care Unit, Hartford, CT 06105-1208 | 2015-12-07 |
| 1629475371 | Windham Community Memorial Hospital | Nurse Practitioner | 112 Mansfield Ave, Willimantic, CT 06226-2045 | 2014-11-24 |
| 1083054449 | Lindsay Anne Bizzaro | Nurse Practitioner | 326 Washington St, Norwich, CT 06360-2740 | 2013-07-01 |
| Find all providers with the same taxonomy | ||||
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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.