PRANVERA DAUTAJ (NPI# 1568709731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568709731 |
| Entity Type | Individual |
| Full Name | PRANVERA DAUTAJ |
| Other Name | PRANVERA FASLLIAJ |
| Credential | APRN |
| Practice Address |
100 Retreat Ave Suite 400 Hartford CT 06106-2528 |
| Mailing Address |
2110 Silas Deane Hwy Rocky Hill CT 06067-2313 |
| Practice Telephone | 8605471278 |
| Practice Fax Number | 8605471301 |
| Mailing Telephone | 8602583470 |
| Mailing Fax Number | 8605716800 |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 93364 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANCC | 2012017332 | 01 |
| Street Address |
100 RETREAT AVE SUITE 400 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-2528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114926169 | Scott Bernstein, Md, LLC | Internal Medicine | 100 Retreat Ave, Suite 902, Hartford, CT 06106-2528 | 2005-07-20 |
| 1568075380 | Abbey Stackpole | Pharmacist | 100 Retreat Ave, Hartford, CT 06106-2528 | 2020-08-31 |
| 1821537770 | Lindsey Belliveau | Physician Assistant | 100 Retreat Ave, Suite 705, Hartford, CT 06106 | 2017-02-13 |
| 1407398712 | Quest Diagnostics LLC | Clinical Medical Laboratory | 100 Retreat Ave, Suite 408, Hartford, CT 06106-2528 | 2016-11-17 |
| 1720405715 | Bradley Jerson | Psychologist | 100 Retreat Ave, Hartford Hospital Child Psychiatry, Div of Psychology, Hartford, CT 06106-2528 | 2014-03-27 |
| 1174957476 | Madeline Munn | Nurse Practitioner | 100 Retreat Ave, Suite 400, Hartford, CT 06106-2528 | 2013-08-22 |
| 1053758128 | Ashley E Young | Obstetrics & Gynecology | 100 Retreat Ave, Suite 201, Hartford, CT 06106-2528 | 2013-05-30 |
| 1083058671 | Jordan Hammer Kunkes | Internal Medicine | 100 Retreat Ave, Hartford, CT 06106 | 2013-04-25 |
| 1851644801 | Starling Physicians PC | Nurse Practitioner | 100 Retreat Ave, Suite 400, Hartford, CT 06106-2528 | 2012-10-15 |
| 1487915039 | Ellen Lamb | Obstetrics & Gynecology | 100 Retreat Ave, Suite 201, Hartford, CT 06106-2528 | 2012-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| 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 |
|---|---|---|---|---|
| 1275168478 | Laverne Sharisse Watts | Nurse Practitioner | 37 Alden St Apt L, Hartford, CT 06114-1018 | 2020-03-08 |
| 1285164111 | Sarah Elaine Yiznitsky | Nurse Practitioner | 2550 Main St Ste 205, Hartford, CT 06120-1936 | 2017-06-13 |
| 1285083139 | Debra Knisbeck | Nurse Practitioner | 626 Foxtail Dr, Hartford, WI 53027-2743 | 2016-06-10 |
| 1821327958 | Susan Chmael | Nurse Practitioner | Gray Cancer Ctr, 85 Retreat Ave, Hartford, CT 06160-0001 | 2009-12-21 |
| 1861726291 | Anne N Ntate | Nurse Practitioner | 410 Capitol Ave, Hartford, CT 06106-1367 | 2009-10-02 |
| 1669649588 | Elizabeth H Anderson | Nurse Practitioner | 67 Brownell Ave, Hartford, CT 06106-3302 | 2008-05-09 |
| 1417135195 | Ling Li | Nurse Practitioner | 3580 Main Street, Hartford, CT 06120 | 2008-02-05 |
| 1558429944 | Jean B Stielau | Nurse Practitioner | 85 Seymour St Ste 409, Hartford, CT 06106-5523 | 2006-12-05 |
| 1750315610 | Marie D'onofrio | Nurse Practitioner | 450 Columbus Blvd, Hartford, CT 06103-1801 | 2006-07-10 |
| 1487690418 | Karrie L Ellis | Nurse Practitioner | 1680 Albany Ave, Hartford, CT 06105 | 2006-06-20 |
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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.