MS. JENNIFER ANNE WILLIAMS (NPI# 1659557643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659557643 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER ANNE WILLIAMS |
| Other Name | MS. JENNIFER DONOVAN |
| Credential | PA-C |
| Practice Address |
130 Division St Derby CT 06418-1326 |
| Mailing Address |
2800 Main St Bridgeport CT 06606-4201 |
| Practice Telephone | 2037321330 |
| Practice Fax Number | 2037321332 |
| Mailing Telephone | 4752104078 |
| Mailing Fax Number | 4752104049 |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
002056 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316555063 | Jennifer E Williams | Nurse's Aide | 283 Pinehurst Dr, Saint Marys, GA 31558-4639 | 2020-07-20 |
| 1316579808 | Jennifer Lynn Williams | Licensed Vocational Nurse | 4100 Highway 84 E, Early, TX 76802-3618 | 2020-02-12 |
| 1174153555 | Jennifer Renee Williams | Family Medicine | 307 W Point Rd, Lawrenceburg, TN 38464-3055 | 2020-01-24 |
| 1447809215 | Jennifer Lynn Williams | Nurse Practitioner | 15435 W 134th Pl # 101, Olathe, KS 66062-6135 | 2019-09-05 |
| 1114575396 | Jennifer Marie Williams | Nurse Practitioner | 327 Industrial Dr, Jonesboro, LA 71251-5498 | 2019-08-30 |
| 1376104067 | Jennifer Louise Williams | Massage Therapist | 94260 Horton Rd, Blachly, OR 97412-9755 | 2019-06-24 |
| 1386201317 | Jennifer Williams | Nurse Practitioner | 320 Myrtle Ave, West Islip, NY 11795-4113 | 2019-05-24 |
| 1275091159 | Jennifer Williams | Physician Assistant | 1711 Ashwood Ln, Birmingham, AL 35209-8206 | 2019-03-09 |
| 1902360233 | Jennifer Ann Williams | Licensed Practical Nurse | 10013 Freedoms Way, Keithville, LA 71047-9206 | 2019-01-31 |
| 1982174215 | Jennifer Denise Williams | Home Health Aide | 1301 South 33rd Street, Fort Pierce, FL 34947 | 2018-11-29 |
| Street Address |
130 DIVISION ST |
| City | DERBY |
| State | CT |
| Zip Code | 06418-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058478 | Mihaela Boran | Psychiatry & Neurology | 130 Division St, Derby, CT 06418-1326 | 2005-07-29 |
| 1437767134 | Sovit Dahal | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-07-20 |
| 1649894056 | Julie Sim | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-06-01 |
| 1073133435 | Angad Singh Gill | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2020-04-25 |
| 1699394924 | Ricardo Adolfo Concepcion Gomez | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418 | 2020-04-16 |
| 1104455112 | Maharshi Panchal | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-04-02 |
| 1104455252 | Anwesh Babu Poosala | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-04-01 |
| 1720615271 | Anthony Karam Awad | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-03-25 |
| 1134756760 | Douglas Misael Palacios Hernandez | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-03-24 |
| 1437786142 | Rosa Constantino | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839105 | Fnu Prinkiya | Student in an Organized Health Care Education/Training Program | Griffin Hospital. 130 Division St, Derby, CT 06418 | 2020-04-08 |
| 1942837935 | Ivanshi A Gondalia | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St, Derby, CT 06418 | 2020-03-27 |
| 1972168094 | Pir Saad | Student in an Organized Health Care Education/Training Program | C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 | 2019-05-03 |
| 1295398899 | Ahtsham Yousaf Chaudhary | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2019-04-18 |
| 1477016376 | Rabia Usman | Student in an Organized Health Care Education/Training Program | 130 Division St. Griffin Hospital, Derby, CT 06418 | 2019-04-09 |
| 1932661428 | Meshal Qaiser | Student in an Organized Health Care Education/Training Program | 130 Division Street Griffin Hospital, Derby, CT 06418 | 2019-04-03 |
| 1275027666 | Victoria Anne Hodge Enquist | Social Worker | 241 Seymour Avenue, Griffin Hospital Iop, Seymour, CT 06418 | 2018-06-19 |
| 1811485758 | Nimeshayan Varatharajah | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St., Derby, CT 06418 | 2018-04-26 |
| 1851889836 | Pete Prashamsa Shenoy | Student in an Organized Health Care Education/Training Program | Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 | 2018-04-25 |
| 1639696594 | Samantha Leigh Bassett | Counselor | 90 Sodom Lane, Derby, CT 06418 | 2017-08-23 |
| Find all providers in zip 06418 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952889990 | David K Pintar Jr. | Physician Assistant | 14 Hamilton Road, Derby, DERBYSHIRE DE23 6RT | 2018-08-01 |
| 1518453646 | Miranda Warunek | Physician Assistant | 130 Division St, Derby, CT 06418-1326 | 2018-07-01 |
| 1780012161 | Brittany Schnepp | Physician Assistant | 130 Division St, Derby, CT 06418 | 2013-10-23 |
| 1457658791 | Bradley P Herold | Physician Assistant | 130 Division St, Derby, CT 06418-1326 | 2011-02-23 |
| 1295861599 | Gabrielle S Pino | Physician Assistant | 130 Division St, Derby, CT 06418 | 2007-02-23 |
| 1760402390 | Jennifer Pleimann | Physician Assistant | 130 Division St, Derby, CT 06418-1326 | 2006-07-19 |
| 1760408249 | Carolyn Madden | Physician Assistant | 130 Division St, Derby, CT 06418-1326 | 2006-07-15 |
| 1164458204 | Akiva Bronstein | Physician Assistant | 130 Division St, Derby, CT 06418-1326 | 2006-06-23 |
| 1205892452 | Scott B Callahan | Physician Assistant | 130 Division St, Derby, CT 06418-1326 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798362 | Brandon H Kusako | Physician Assistant | 34 Maple St Dept Of, Norwalk, CT 06850-3815 | 2020-10-26 |
| 1073137097 | Page Renee Burns | Physician Assistant | 40 Bertrose Ave, Milford, CT 06460-5906 | 2020-06-05 |
| 1043848575 | Caitlin Ann Kimberly | Physician Assistant | 40 Avalon Dr Unit 6331, Milford, CT 06460-8956 | 2020-03-30 |
| 1699307199 | Lindy Carelli | Physician Assistant | 330 Washington St Ste 410, Norwich, CT 06360-2700 | 2020-02-12 |
| 1174166722 | Jacqueline Clarizio | Physician Assistant | 5520 Park Ave Ste 300, Trumbull, CT 06611-3465 | 2019-10-25 |
| 1699260109 | Kristen Jean Mosher | Physician Assistant | 31 Cloverdale Ave, Shelton, CT 06484-2538 | 2018-06-27 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1962920561 | Eugenie Cho | Physician Assistant | 34 Maple St., Norwalk, CT 06856 | 2017-09-03 |
| 1134536311 | Allyson E Kubasek | Physician Assistant | 32 Seymour Street, Hartford Hospital Orthopedics Dept, Hartford, CT 06102-5037 | 2014-07-19 |
| 1477964344 | Samuel Silva | Physician Assistant | 226 White St., Danbury, CT 06810 | 2014-05-14 |
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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.