RENEE THOMPSON (NPI# 1659837771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659837771 |
| Entity Type | Individual |
| Full Name | RENEE THOMPSON |
| Credential | PA-C |
| Practice Address |
490 Blue Hills Avenue Hartford CT 06112 |
| Mailing Address |
7210 Loma Linda Dr Ne Rockford MI 49341-9455 |
| Practice Telephone | 8607142149 |
| Practice Fax Number | 8067148933 |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619423738 | Renee Beth Thompson | Social Worker | 6100 W Hampton Ave, Milwaukee, WI 53218-4949 | 2016-08-29 |
| 1942554712 | Renee S Thompson | Psychologist | 208 E Clay St, Chewelah, WA 99109 | 2012-11-01 |
| 1649409798 | Renee Lebeau Thompson | Social Worker | 7330 Lexington Ln, Clearwater, FL 33764-7024 | 2009-07-10 |
| 1659392447 | Renee E Thompson | Surgery | 4201 Marla Dr Ne, Albuquerque, NM 87109-1937 | 2006-07-21 |
| 1174010284 | Renee A. Mcintosh Thompson | Nurse Practitioner | 1420 Broadway, Hewlett, NY 11557-1321 | 2018-04-16 |
| 1861840076 | Renee Elizabeth Thompson | Dental Assistant | 1631 Wetzel Ave, Bldg 815, Fort Carson, CO 80913-4095 | 2016-05-27 |
| 1134543465 | Renee Thompson | Occupational Therapy Assistant | 3600 Camelot Dr Se, Grand Rapids, MI 49546-8103 | 2014-02-06 |
| 1346577749 | Renee Nicole Thompson | Chiropractor | 30 Marble St, Brandon, VT 05733-1120 | 2009-11-06 |
| 1619091675 | Renee Marie Thompson | Marriage & Family Therapist | 921 E Compton Blvd, Compton, CA 90221-3303 | 2007-03-16 |
| 1366591992 | Renee Thompson | Licensed Vocational Nurse | 36000 Darnall Loop, Fort Hood, TX 76544-5095 | 2007-01-10 |
| Street Address |
490 BLUE HILLS AVENUE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710093869 | Tara Breslin | Physician Assistant | 490 Blue Hills Avenue, Mt.sinai Rehabilitation Hospital/ Physician Suite, Hartford, CT 06112-3088 | 2006-08-22 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265961775 | Jessica Cerrato | Physician Assistant | Hartford Hospital Emergency Dept, 80 Seymour Street, Hartford, CT 06102-5037 | 2017-06-08 |
| 1528471687 | Ephraim Wakszul | Physician Assistant | 19 Woodland St Ste 23, Hartford, CT 06105-2368 | 2014-06-06 |
| 1912321183 | Lauren Schmidtberg | Physician Assistant | 282 Washington St # 2l, Hartford, CT 06106-3322 | 2014-02-09 |
| 1710093869 | Tara Breslin | Physician Assistant | 490 Blue Hills Avenue, Mt.sinai Rehabilitation Hospital/ Physician Suite, Hartford, CT 06112-3088 | 2006-08-22 |
| 1760490676 | Jean Anne Mccracken Turcotte | Physician Assistant | 100 Retreat Ave Ste 811, Hartford, CT 06106-2528 | 2006-08-04 |
| 1700809795 | Sanford Clinic | Physician Assistant | 905 N Oaks Ave, Hartford, SD 57033-6358 | 2006-07-25 |
| 1255394904 | Johanna B Cahill | Physician Assistant | 85 Seymour St Ste 719, Hartford, CT 06106-5560 | 2006-04-11 |
| 1730168634 | Tina Robbins | Physician Assistant | 401 New Britain Ave, Hartford, CT 06106 | 2006-01-10 |
| 1225029663 | Christopher J Delgross | Physician Assistant | 114 Woodland Street, Department of Medicine, Hartford, CT 06105 | 2005-11-03 |
| 1568451698 | Shawn Christine Hake | Physician Assistant | 402 W Sumner St, Hartford, WI 53027-1400 | 2005-10-20 |
| 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.