JOAN MARIE HANNIGAN (NPI# 1619155892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619155892 |
Entity Type | Individual |
Full Name | JOAN MARIE HANNIGAN |
Credential | APRN |
Practice Address |
2505 Main St Suite 223 Stratford CT 06615-5839 |
Practice Telephone | 2033755812 |
Practice Fax Number | 2033756027 |
Enumeration Date | 2008-02-10 |
Last Update Date | 2008-02-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
000722 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2505 MAIN ST SUITE 223 |
City | STRATFORD |
State | CT |
Zip Code | 06615-5839 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366414237 | Robert Joseph Hurley | Social Worker | 2505 Main St, Ste 208, Stratford, CT 06615-5813 | 2006-02-06 |
1033716378 | Andrew J Pesale | Chiropractor | 2505 Main St, Stratford, CT 06615-5839 | 2020-10-08 |
1881236941 | Kaelyn Mead | Chiropractor | 2505 Main St, Stratford, CT 06615-5839 | 2019-10-10 |
1730631979 | Ashley Frisina-deyo | Specialist/Technologist | 2505 Main St, Stationhouse Sq #207, Stratford, CT 06615-5839 | 2016-11-03 |
1609112143 | Susan Marie Iwinski | Lactation Consultant, Non-RN | 2505 Main St, Suite 223, Stratford, CT 06615-5839 | 2013-01-02 |
1306111018 | George Wassell Jr. | Counselor | 2505 Main St, Stratford, CT 06615-5839 | 2012-03-13 |
1275761918 | Grover Opticians | Technician/Technologist | 2505 Main St, Stratford, CT 06615-5839 | 2009-07-01 |
1760616478 | Brian William Grover | Technician/Technologist | 2505 Main St, Stratford, CT 06615-5839 | 2009-05-08 |
1942477161 | Pesale Chiropactic, LLC | Chiropractor | 2505 Main St, Stationhouse Square, Stratford, CT 06615-5839 | 2008-05-15 |
1891963146 | Dana Lynn Jusino | Specialist/Technologist | 2505 Main St, Stationhouse Square 207, Stratford, CT 06615-5839 | 2008-02-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154713832 | Lauren Pessin | Behavioral Analyst | 55 Sutton Ave, Stratford, CT 06615 | 2015-03-04 |
1801223748 | Steven Flathers | Occupational Therapist | 27 Eunice Parkway, Stratford, CT 06615 | 2013-10-10 |
1700219243 | Stratford Orthodontics | Dentist | 2499 Main Street, Stratford, CT 06615 | 2013-08-20 |
1417380981 | Debra L Tomaselli | Marriage & Family Therapist | 2296 Main Street, 2nd Floor, Stratford, CT 06615 | 2013-08-19 |
1003199217 | Katherine Bajda | Nurse Practitioner | 837 Prospect Drive, Stratford, CT 06615 | 2011-09-23 |
1336326495 | Dammy Bamisile | Social Worker | 100 Center Street, Shelton, CT 06615 | 2008-01-30 |
1487868550 | Mark Rabin | Medical Genetics, Ph.D. Medical Genetics | Dianon Systems, 200 Watson Boulevard, Stratford, CT 06615 | 2007-05-09 |
1205958675 | Sophia Leonida M.d., PC | Clinic/Center | 2505 Main St., Stratford, CT 06615 | 2007-04-04 |
1558488213 | Fatima Eslami-varzaneh | Pathology | 200 Watson Boulvard, Stratford, CT 06615 | 2007-03-26 |
1881729804 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 555 Lordship Boulevard, Stratford, CT 06615 | 2007-02-22 |
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Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780740894 | Robin Chase Murtha | Nurse Practitioner | 2505 Main St, Suite 223, Stratford, CT 06615-5839 | 2007-01-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447878855 | Ashley Elusma | Nurse Practitioner | 92 New London Tpke # 1, Norwich, CT 06360-2616 | 2020-07-13 |
1396382792 | Jessca Morcone | Nurse Practitioner | 640 Brookside Dr, Fairfield, CT 06824-2419 | 2019-12-04 |
1790337137 | Elizabeth R Renker | Nurse Practitioner | 97 Barnes Rd Ste 6, Wallingford, CT 06492-1885 | 2019-07-16 |
1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
1487180840 | Meghan Mccarthy Warzoha | Nurse Practitioner | 2001 W Main St Ste 132, Stamford, CT 06902-4544 | 2017-05-04 |
1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
1740602515 | Smart Start Pediatrics | Nurse Practitioner | 27 Sycamore St., Suite 300, Glastonbury, CT 06033 | 2014-01-14 |
1780013102 | Elizabeth Anavy | Nurse Practitioner | 195 Hillandale Ave, Stamford, CT 06902-2823 | 2013-11-06 |
1174951669 | Bela Kirit Dharia | Nurse Practitioner | 55 Lock Street, Yale Health, New Haven, CT 06511-3603 | 2013-10-22 |
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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.