MRS. KATHLEEN BONIN (NPI# 1588653596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588653596 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN BONIN |
| Credential | APRN |
| Practice Address |
108 New London Tpke Norwich CT 06360-2645 |
| Practice Telephone | 8608865588 |
| Practice Fax Number | 8608865535 |
| Mailing Telephone | 8608865588 |
| Mailing Fax Number | 8608865535 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2008-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
002975 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | HEALTH NET | 2V4906 | 01 |
| CT | OXFORD | P3245483 | 01 |
| CT | CONNECTICARE | 102975 | 01 |
| CT | ANTHEM BLUE CROSS | 400002975CT01 | 01 |
| CT | 004242848 | 05 |
| Street Address |
108 NEW LONDON TPKE |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023479375 | Jeigh Hayes Health and Wellness | Counselor | 108 New London Tpke, Office 3, Suite A, Norwich, CT 06360-2645 | 2016-03-15 |
| 1891130597 | Kelly Jaziri | Psychiatry & Neurology | 108 New London Tpke, Norwich, CT 06360 | 2013-05-08 |
| 1467600692 | William Scott Cherry | Social Worker | 108 New London Tpke, Norwich Psychiatric Center, Norwich, CT 06360 | 2008-08-29 |
| 1073784369 | Faith Marrion | Social Worker | 108 New London Tpke, Norwich, CT 06360-2645 | 2008-03-14 |
| 1629282181 | Liliana Galan Md LLC | Internal Medicine | 108 New London Tpke, Norwich, CT 06360-2645 | 2007-05-10 |
| 1518003680 | Norwich Psychiatric Center | Counselor | 108 New London Tpke, Norwich, CT 06360-2645 | 2007-01-29 |
| 1669518635 | Mary E. Kennedy | Nurse Practitioner | 108 New London Tpke, Norwich, CT 06360-2645 | 2007-01-29 |
| 1235275256 | Janine D. Sylvia | Counselor | 108 New London Tpke, Norwich, CT 06360-2645 | 2007-01-29 |
| 1588700538 | Eileen M. Moore | Nurse Practitioner | 108 New London Tpke, Norwich, CT 06360-2645 | 2007-01-29 |
| 1760538102 | Walid A. Jaziri | Psychiatry & Neurology | 108 New London Tpke, Norwich, CT 06360-2645 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161170 | Lisa B Stein | Nurse Practitioner | 861 Brooklawn Ave, Fairfield, CT 06825-1809 | 2020-10-15 |
| 1194322800 | Constantin Razvan Popescu | Nurse Practitioner | 46 Summer View Dr, Monroe, CT 06468-2001 | 2020-10-06 |
| 1538785902 | Lms Health LLC | Nurse Practitioner | 2001 W Main St Ste 244, Stamford, CT 06902-4544 | 2020-06-22 |
| 1760001010 | Mobile Care Partners of Connecticut Pllc | Nurse Practitioner | 44 Luzi Dr Apt 960, Bantam, CT 06750-1619 | 2020-04-15 |
| 1740811454 | Melissa Jennifer Mokel | Nurse Practitioner | 122 Cornerstone Dr, South Windsor, CT 06074-6303 | 2020-01-31 |
| 1861037533 | Olga Poznyur | Nurse Practitioner | 19 Woodland St Ste 21, Hartford, CT 06105-2372 | 2019-11-16 |
| 1356996904 | Virginia Tran | Nurse Practitioner | 39 Maple Tree Ave Unit 34, Stamford, CT 06906-2273 | 2019-08-09 |
| 1336705839 | Rose-ann Cashema Richards | Nurse Practitioner | 34 Heather Ln, Manchester, CT 06040-6903 | 2019-05-10 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1427549088 | Kelly Elizabeth Sullivan | Nurse Practitioner | 428 Hartford Tpke Ste 207, Vernon, CT 06066-4841 | 2018-05-19 |
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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.