DR. FREDO J CLERMONT (NPI# 1649641150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649641150 |
Entity Type | Individual |
Full Name | DR. FREDO J CLERMONT |
Credential | DNP, APRN |
Practice Address |
114 Woodland St Fl 7 Hartford CT 06105 |
Mailing Address |
1300 Hall Blvd Fl 3 Bloomfield CT 06002-2918 |
Practice Telephone | 8607142750 |
Practice Fax Number | 8607148612 |
Mailing Telephone | 8607149333 |
Mailing Fax Number | 8607148612 |
Enumeration Date | 2015-10-09 |
Last Update Date | 2019-09-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
006309 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
6309 | CT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | LICENSE | 006309 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
330 Orchard St, New Haven, CT 065114417 | 2037896047 |
Street Address |
114 WOODLAND ST FL 7 |
City | HARTFORD |
State | CT |
Zip Code | 06105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
Find all providers in zip 06105 |
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.