JANICE TAVARES (NPI# 1609428721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609428721 |
| Entity Type | Individual |
| Full Name | JANICE TAVARES |
| Credential | APRN |
| Practice Address |
439 Mill Hill Ave Bridgeport CT 06610-2866 |
| Mailing Address |
146 E Gate Ln Hamden CT 06514-2234 |
| Practice Telephone | 2033342100 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 107221 | CT | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 8408 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
439 MILL HILL AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-2866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598763252 | Zosimo Adefuin | Specialist | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2005-07-07 |
| 1205458809 | Jean-a'layn Segalla | Registered Nurse | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2020-05-18 |
| 1437318649 | Suhash R Patel | Internal Medicine | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2008-06-03 |
| 1154503209 | Irma Fotjadhi | Internal Medicine | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2007-11-30 |
| 1518186808 | Lisa Maria Kegel | Nurse Practitioner | 439 Mill Hill Ave, Bridgeport, CT 06610 | 2007-04-25 |
| 1487785838 | Luis E Rojas | Nurse Practitioner | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2007-03-08 |
| 1902957970 | Advanced Cardiovascular Specialists PC | Nurse Practitioner | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2007-01-16 |
| 1134276694 | Michael Logue | Internal Medicine | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2007-01-05 |
| 1184622656 | Adolfo J Luciano | Internal Medicine | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2005-07-08 |
| 1366440026 | Doron Amir | Internal Medicine | 439 Mill Hill Ave, Bridgeport, CT 06610-2866 | 2005-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| 1922532746 | Megha Kureti | Student in an Organized Health Care Education/Training Program | 267 Grant St Fl 3, Bridgeport, CT 06610 | 2017-04-18 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| Find all providers in zip 06610 | ||||
| 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 |
|---|---|---|---|---|
| 1871119081 | Brittney Vargo | Nurse Practitioner | 71480 Sharon Rd, Bridgeport, OH 43912-7725 | 2020-06-23 |
| 1760007843 | Stephanie Jaser | Nurse Practitioner | 2660 Main St Ste 219, Bridgeport, CT 06606-5301 | 2020-06-14 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1730383563 | Ags Inc | Nurse Practitioner | 164 Thompson Dr, Bridgeport, WV 26330-1644 | 2007-06-14 |
| 1407876543 | Laurie A Haydu | Nurse Practitioner | 211 State St, Bridgeport, CT 06604-4808 | 2006-07-20 |
| 1194727172 | Marleena Dimaggio | Nurse Practitioner | 82 George St, Bridgeport, CT 06604-3315 | 2005-08-10 |
| 1255939880 | Ashley Weaver | Nurse Practitioner | 6940 Dixie Hwy, Bridgeport, MI 48722-9760 | 2020-10-15 |
| 1164030565 | Alyssa Garza | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2805 | 2020-07-21 |
| 1427674548 | Cassandra Esposito | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2870 | 2020-06-24 |
| 1447898861 | Gustavo David Herrera-brito | Nurse Practitioner | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2019-12-16 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06610 |
Please comment or provide details below to improve the information on JANICE TAVARES.
| 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.