JANE ELIZABETH CLARK (NPI# 1639262579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639262579 |
| Entity Type | Individual |
| Full Name | JANE ELIZABETH CLARK |
| Credential | RNCS |
| Practice Address |
675 Tower Ave Suite 301 Hartford CT 06112-1273 |
| Practice Telephone | 8607142750 |
| Practice Fax Number | 8607148591 |
| Mailing Telephone | 8607142750 |
| Mailing Fax Number | 8607148591 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1952 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
001952 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841608221 | Jane D Clark | Physician Assistant | 100 Hospital Ln Ste 300, Danville, IN 46122-2000 | 2014-07-29 |
| 1124452537 | Jane Marie Clark | Social Worker | 1427 Genesee St, Utica, NY 13501-4343 | 2013-08-22 |
| 1386989671 | Jane S. Clark | Occupational Therapy Assistant | 24724 S Business 52, Albemarle, NC 28001-8179 | 2012-11-28 |
| 1659530004 | Jane S. Clark | Dermatology | 1107 Memorial Dr, Suite 201, Dalton, GA 30720-8662 | 2008-06-02 |
| 1366552747 | Jane Rogers Clark | Otolaryngology | 61 Lincoln St, Suite 109, Framingham, MA 01702-8264 | 2006-08-30 |
| Street Address |
675 TOWER AVE SUITE 301 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112-1273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467448878 | Kimberly L Beaulieu | Physician Assistant | 675 Tower Ave, Hartford, CT 06112-1264 | 2005-09-21 |
| 1053833475 | Mona Anne Chiurillo | Nurse Practitioner | 675 Tower Ave, Hartford, CT 06112-1273 | 2017-07-07 |
| 1457758179 | Shivanna Subramani Gonzalez | Nurse Practitioner | 675 Tower Ave, Hartford, CT 06112-1273 | 2014-11-24 |
| 1750626032 | Melissa Leigh Costanzo | Marriage & Family Therapist | 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 | 2012-11-28 |
| 1477846319 | Susana L Mealha | Social Worker | 675 Tower Ave, Suite 303, Hartford, CT 06112-1273 | 2011-05-25 |
| 1396038691 | Javeeria Manzoor | Psychiatry & Neurology | 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 | 2011-05-18 |
| 1912204504 | Elaine F Pratt | Nurse Practitioner | 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 | 2011-02-17 |
| 1053613752 | Community Renewal Team | Case Management | 675 Tower Ave, 303, Hartford, CT 06112-1273 | 2010-12-01 |
| 1144522160 | Community Renewal Team Inc. | Case Management | 675 Tower Ave, Hartford, CT 06451 | 2010-11-23 |
| 1154638815 | Mahreen Raza | Psychiatry & Neurology | 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 | 2010-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
| 1366858359 | Krysten N Marotta | Pharmacist | 1290 Albany Ave, Hartford, CT 06112 | 2014-07-10 |
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| Find all providers in zip 06112 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649888256 | Healthy Minds Pllc | Nurse Practitioner | 40 Russ St, Hartford, CT 06106-1520 | 2020-07-20 |
| 1164515946 | Jane Romano | Nurse Practitioner | 675 Tower Ave Ste 301, Hartford, CT 06112-1260 | 2006-10-02 |
| 1427661420 | Advanced Clinical Services LLC | Nurse Practitioner | 556 Zion St, Hartford, CT 06106-2348 | 2020-08-28 |
| 1891316113 | Taryn Westfall | Nurse Practitioner | 330 Main St, Hartford, CT 06106-1860 | 2020-04-27 |
| 1295374668 | Jess Adelman, Aprn LLC | Nurse Practitioner | 51 Gillett St, Hartford, CT 06105-2636 | 2020-01-02 |
| 1982243580 | Melissa Richardson | Nurse Practitioner | 21 Grand St, Hartford, CT 06106-1541 | 2019-12-30 |
| 1710537063 | Chengping Wang | Nurse Practitioner | 500 Albany Ave, Hartford, CT 06120-2508 | 2019-09-18 |
| 1538726930 | Denielle M Mccarthy | Nurse Practitioner | 200 Retreat Ave, Hartford Hospital Psych Dept, Hartford, CT 06106-3309 | 2019-05-22 |
| 1083199764 | Kemmarie Beal, Np, LLC | Nurse Practitioner | 3580 Main St, Hartford, CT 06120-1121 | 2018-09-28 |
| 1497233803 | Emily D Farb | Nurse Practitioner | 200 Retreat Ave, Hartford Hospital Psych Dept, Hartford, CT 06106-3309 | 2018-07-30 |
| Find all providers in HARTFORD | ||||
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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.