JESSICA F WISEMAN (NPI# 1649833799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649833799 |
| Entity Type | Individual |
| Full Name | JESSICA F WISEMAN |
| Credential | MD |
| Practice Address |
The Hospital of Central Connecticut Outpatient Clinic 100 Grand Street New Britain CT 06050 |
| Mailing Address |
Uconn Graduate Medical Education 263 Farmington Avenue Lm068 Farmington CT 06030-1921 |
| Practice Telephone | 8602245261 |
| Practice Fax Number | 8602245957 |
| Mailing Telephone | 8606794763 |
| Mailing Fax Number | 8606794624 |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912432485 | Jessica Leighann Wiseman | Nurse Practitioner | 2620 Elm Hill Pike, Nashville, TN 37214-3108 | 2017-04-21 |
| Street Address |
THE HOSPITAL OF CENTRAL CONNECTICUT OUTPATIENT CLINIC 100 GRAND STREET |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255950747 | Louisa Drake | Student in an Organized Health Care Education/Training Program | Ambulatory Pavilion West At Thocc, 100 Grand Street, New Britain, CT 06050 | 2020-04-14 |
| 1912561358 | Ravneet Singh Randhawa | Student in an Organized Health Care Education/Training Program | Outpatient Clinic, 100 Grand Street, New Britain, CT 06050 | 2019-04-30 |
| 1861823072 | Andrea Gainey | Genetic Counselor, MS | 100 Grand St, The Hospital of Central Connecticut, Dept. 55000, Maternal Fetal Medicine, New Britain, CT 06050 | 2013-12-13 |
| 1912231879 | Kari Norton King | Dietitian, Registered | 100 Grand St., The Hospital of Central Connecticut, New Britain, CT 06050 | 2009-09-25 |
| 1891836912 | Richard E. Ptachcinski | Pharmacist | 650 Farmington Ave, New Britain, CT 06050 | 2007-02-09 |
| 1689778284 | Teresa Thuyai Dinh Lee | Psychiatry & Neurology | 345 Linwood St, New Britain, CT 06050 | 2006-09-12 |
| 1871609909 | Teresa C Works | Social Worker | 50 Griswold Street, New Britian General Hospital Counseling Center, New Britian, CT 06050 | 2006-08-22 |
| 1730124579 | Renata Kozak | Nurse Practitioner | 50 Griswold St, New Britain, CT 06050 | 2006-06-17 |
| 1114900339 | Annmarie Golioto | Pediatrics | 100 Grand Street Dept of Pediatrics, Hospital of Central Connecticut-new Britain, New Britain, CT 06050 | 2005-11-22 |
| 1356342307 | Jeffrey Bond | Physician Assistant | 100 Grand Street, Physician Relations, New Britain, CT 06050 | 2005-08-02 |
| Find all providers in zip 06050 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665546 | Eleni Angistrioti | Student in an Organized Health Care Education/Training Program | 135 Brittany Farms Rd Apt D, New Britain, CT 06053-1127 | 2020-09-24 |
| 1255950747 | Louisa Drake | Student in an Organized Health Care Education/Training Program | Ambulatory Pavilion West At Thocc, 100 Grand Street, New Britain, CT 06050 | 2020-04-14 |
| 1245864495 | Vaibhav Gandhi | Student in an Organized Health Care Education/Training Program | 2100 Stanley St Apt 306, New Britain, CT 06053-1559 | 2020-02-26 |
| 1912561358 | Ravneet Singh Randhawa | Student in an Organized Health Care Education/Training Program | Outpatient Clinic, 100 Grand Street, New Britain, CT 06050 | 2019-04-30 |
| 1073047544 | Terrence Yao Tian | Student in an Organized Health Care Education/Training Program | 118 Shuttle Meadow Ave, New Britain, CT 06052-1932 | 2017-04-12 |
| 1134740673 | Johanna C Romo Rodriguez | Student in an Organized Health Care Education/Training Program | 100 Grand Street, Hospital of Central Connecticut Outpatient Clinic, New Britain, CT 06052 | 2020-05-06 |
| 1467071696 | Natali R Senocak | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-08 |
| 1346879608 | Najwan Augustin | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-07 |
| 1346879616 | Christopher J Dipollina | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-07 |
| 1861021263 | Rosanne M Zandvliet | Student in an Organized Health Care Education/Training Program | 100 Grand St, New Britain, CT 06052-2016 | 2020-04-07 |
| Find all providers in NEW BRITAIN | ||||
| City | NEW BRITAIN |
| Zip Code | 06050 |
Please comment or provide details below to improve the information on JESSICA F WISEMAN.
| 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.