JESSICA VAN RYE APRN FNP BC LLC (NPI# 1629593678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629593678 |
| Entity Type | Organization |
| Organization Name | JESSICA VAN RYE APRN FNP BC LLC |
| Practice Address |
620 Norwich New London Tpke Uncasville CT 06382-2121 |
| Practice Telephone | 8608928012 |
| Practice Fax Number | 8608928027 |
| Mailing Telephone | 8603343893 |
| Mailing Fax Number | 8608928027 |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-08-11 |
| Authorized Official Name | JESSICA HANLON VAN RYE (OWNER) |
| Authorized Official Telephone | 8608928012 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
002779 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004229276 | 05 |
| Street Address |
620 NORWICH NEW LONDON TPKE |
| City | UNCASVILLE |
| State | CT |
| Zip Code | 06382-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770640336 | Mark Aloysius Kozlowski | Dentist | 620 Norwich New London Tpke, Uncasville, CT 06382-2121 | 2007-01-03 |
| 1013543792 | Meagan Gates | Nurse Practitioner | 620 Norwich New London Tpke, Uncasville, CT 06382-2156 | 2020-03-13 |
| 1003478686 | Danielle Lee Mallory | Nurse Practitioner | 620 Norwich New London Tpke, Uncasville, CT 06382-2121 | 2019-07-03 |
| 1386138147 | Elizabeth Kozlowski | Dentist | 620 Norwich New London Tpke, Uncasville, CT 06382-2121 | 2018-06-15 |
| 1922595222 | Mallory Muzykoski | Nurse Practitioner | 620 Norwich New London Tpke, Uncasville, CT 06382 | 2018-04-23 |
| 1780926774 | Kristin Mahan, Aprn, Fnp-c, LLC | Nurse Practitioner | 620 Norwich New London Tpke, Uncasville, CT 06382 | 2013-03-18 |
| 1063661759 | Stephanie June Sloan | Nurse Practitioner | 620 Norwich New London Tpke, Uncasville, CT 06382-2121 | 2008-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235336934 | Saqib Inayatullah | Internal Medicine | 88 Norwich New London Tpke Ste 2, Uncasville, CT 06382 | 2007-06-27 |
| 1730301011 | Kelly Susan Roberge | Marriage & Family Therapist | 20 Maple Ave., Uncasville, CT 06382 | 2007-05-03 |
| 1427172543 | Madeleine Sherwood Lefker | Speech-Language Pathologist | 303 Norwich New London Tpke., Uncasville, CT 06382 | 2007-03-16 |
| 1245385426 | Community Therapeutix PC | Acupuncturist | 88 Norwich New London Turnpike, Suite 1, Uncasville, CT 06382 | 2007-01-25 |
| 1619031796 | Southeastern Ct Nephrology Assoc PC | Internal Medicine | 88 Norwich New London Tpk, Suite 2, Uncasville, CT 06382 | 2006-12-21 |
| 1598833725 | Orchard Grove Specialty Care Center | Nursing Facility/Intermediate Care Facility | 5 Richard Brown Drive, Uncasville, CT 06382 | 2006-12-04 |
| 1659459584 | Rachel Elizabeth Vitello | Occupational Therapist | 303 Norwich New London Turnpike, Uncasville, CT 06382 | 2006-11-01 |
| 1093739310 | Regina Ann Strand | Optometrist | 2020 Norwich New London Turnpike, Unit 8, Uncasville, CT 06382 | 2006-07-27 |
| 1225096084 | Ronald Miner Hughes | Social Worker | 20 Maple Ave, Montville, CT 06382 | 2006-05-02 |
| 1184690703 | Peter S Hahn | Internal Medicine | 2020 Norwich New London Tpke Ste 12, Uncasville, CT 06382 | 2006-02-24 |
| Find all providers in zip 06382 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013543792 | Meagan Gates | Nurse Practitioner | 620 Norwich New London Tpke, Uncasville, CT 06382-2156 | 2020-03-13 |
| 1003478686 | Danielle Lee Mallory | Nurse Practitioner | 620 Norwich New London Tpke, Uncasville, CT 06382-2121 | 2019-07-03 |
| 1922595222 | Mallory Muzykoski | Nurse Practitioner | 620 Norwich New London Tpke, Uncasville, CT 06382 | 2018-04-23 |
| 1245644954 | Nicole Eddy Ortiz | Nurse Practitioner | 80 Norwich New London Tpke, Uncasville, CT 06382-2527 | 2014-06-20 |
| 1780926774 | Kristin Mahan, Aprn, Fnp-c, LLC | Nurse Practitioner | 620 Norwich New London Tpke, Uncasville, CT 06382 | 2013-03-18 |
| 1205869112 | Katharine Nicole Stephenson | Nurse Practitioner | 88 Norwich New London Tpke, Suite 2, Uncasville, CT 06382-2518 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1023618634 | Jessica Anne Butt | Nurse Practitioner | 93 E Putnam Rd, Putnam, CT 06260-2824 | 2020-11-01 |
| 1962002691 | Marielle Hellerud Khuen | Nurse Practitioner | 39 Fifth St, Norwalk, CT 06855-2402 | 2020-10-30 |
| 1043810013 | Alexa L Carolan | Nurse Practitioner | 24 Penny Ln, Watertown, CT 06795-1734 | 2020-10-29 |
| 1891394219 | Azra Alagic | Nurse Practitioner | 374 Cypress Rd, Newington, CT 06111-5616 | 2020-10-19 |
| 1396352589 | Jeffrey Kiser | Nurse Practitioner | 123 Sisson Ave Fl 3, Hartford, CT 06106-1136 | 2020-09-30 |
| 1932716628 | Tabia Thompson-lamothe | Nurse Practitioner | 16 Woodhill Rd, Trumbull, CT 06611-3356 | 2020-09-26 |
| 1356958243 | Lisa Solari | Nurse Practitioner | 34 Centerwood Rd, Newington, CT 06111-3107 | 2020-09-25 |
| 1558977801 | Megan Bouchard | Nurse Practitioner | 2351 Summer St, Stamford, CT 06905-4504 | 2020-09-22 |
| 1316553233 | Anylen Ruiz Ayala | Nurse Practitioner | 109 W Center St, Manchester, CT 06040-4917 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | UNCASVILLE |
| Zip Code | 06382 |
Please comment or provide details below to improve the information on JESSICA VAN RYE APRN FNP BC LLC.
| 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.