TRACEY ANN GILHULY (NPI# 1609124064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609124064 |
| Entity Type | Individual |
| Full Name | TRACEY ANN GILHULY |
| Credential | APRN |
| Practice Address |
428 Columbus Ave New Haven CT 06519-1233 |
| Practice Telephone | 2035033250 |
| Practice Fax Number | 2035033254 |
| Mailing Telephone | 2035033250 |
| Mailing Fax Number | 2035033254 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5091 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004235900 | 05 |
| Street Address |
428 COLUMBUS AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932189370 | Catherine Hobbs Sharafanowich | Pharmacist | 428 Columbus Ave, Pharmacy Dept, New Haven, CT 06519-1233 | 2006-01-20 |
| 1407463235 | Jenna Kaitlyn Cordeiro | Physician Assistant | 428 Columbus Ave, New Haven, CT 06519-1233 | 2020-09-25 |
| 1588271605 | Bria Fernandes | Social Worker | 428 Columbus Ave, New Haven, CT 06519-1233 | 2020-09-24 |
| 1225654056 | Elizabeth Talbot | Student in an Organized Health Care Education/Training Program | 428 Columbus Ave, New Haven, CT 06519-1233 | 2020-06-17 |
| 1013559624 | Rocca L Perruccio | Nurse Practitioner | 428 Columbus Ave, New Haven, CT 06519-1233 | 2019-10-15 |
| 1831753045 | Anna Graham | Registered Nurse | 428 Columbus Ave, New Haven, CT 06519-1233 | 2019-04-24 |
| 1891258505 | Jennifer Hodio | Nurse Practitioner | 428 Columbus Ave, New Haven, CT 06519-1233 | 2019-04-09 |
| 1255815247 | Alicia M Dias | Nurse Practitioner | 428 Columbus Ave, New Haven, CT 06519-1233 | 2018-09-17 |
| 1275050056 | Zhuoshu Deng | Nurse Practitioner | 428 Columbus Ave, New Haven, CT 06519-1233 | 2017-08-23 |
| 1437694726 | Samantha N Nesbeth | Nurse Practitioner | 428 Columbus Ave, Internal Medicine, New Haven, CT 06519 | 2016-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326546839 | Kristin Holly Van Horn | Nurse Practitioner | Winchester Chest Clinic, 789 Howard St, New Haven, CT 06510 | 2018-01-30 |
| 1205086915 | Christiane Brigitte Sabourin | Nurse Practitioner | 20 York Cb-2041, Ynh Medical Services PC, New Haven, CT 06504 | 2008-09-30 |
| 1043495989 | Michelle Bolles Vitale | Nurse Practitioner | 1 Howe St, New Haven, CT 06511-5473 | 2008-01-09 |
| 1154331015 | Ami S Marshall | Nurse Practitioner | Yale Community Health Care Clinic, 270 Congress Ave, New Haven, CT 06519-1403 | 2006-08-09 |
| 1497393151 | Teresa Huschart White | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2019-12-12 |
| 1336792225 | Sadie Kathleen Hartell | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2019-07-19 |
| 1457830309 | Shannon Maria Sweeney | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2018-08-11 |
| 1336650001 | Christine Moore | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510 | 2017-10-20 |
| 1366994956 | Mandy Demerchant | Nurse Practitioner | 55 Park St, New Haven, CT 06511-5474 | 2016-10-29 |
| 1730545187 | Colleen Chime Karkhang | Nurse Practitioner | 20 York St, New Haven, CT 06510 | 2016-01-14 |
| Find all providers in NEW HAVEN | ||||
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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.