KAREN REILLEY (NPI# 1679902688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679902688 |
| Entity Type | Individual |
| Full Name | KAREN REILLEY |
| Credential | CPNP |
| Practice Address |
1 Park St New Haven CT 06504-8901 |
| Mailing Address |
330 Cedar St Po Box 208064 New Haven CT 06510-3218 |
| Practice Telephone | 2036884242 |
| Practice Fax Number | 2036884516 |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2016-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
6115 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 PARK ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06504-8901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063493914 | Leonel A Rodriguez | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2005-11-08 |
| 1316564347 | Danielle Hegarty | Physician Assistant | 1 Park St, New Haven, CT 06504-8901 | 2020-06-25 |
| 1902436678 | Katherine Farnsworth | Physician Assistant | 1 Park St, New Haven, CT 06504-8901 | 2020-01-22 |
| 1043863608 | Jennifer Grise | Registered Nurse | 1 Park St, New Haven, CT 06504-8901 | 2019-07-22 |
| 1023574845 | Sleepy Smiles Ct LLC | Dentist | 1 Park St, New Haven, CT 06504-8901 | 2019-02-17 |
| 1871069559 | Stephanie Fiorentino | Physician Assistant | 1 Park St, New Haven, CT 06504-8901 | 2018-10-19 |
| 1780112292 | Paul Andrew Wontroski | Student in an Organized Health Care Education/Training Program | 1 Park St, New Haven, CT 06504-8901 | 2017-05-28 |
| 1770945677 | Avital Brena Ludomirsky | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2016-03-22 |
| 1003295023 | Danice Kuruvilla | Pediatrics | 1 Park St, New Haven, CT 06504 | 2015-05-22 |
| 1326432469 | Katherine Allen Nash | Pediatrics | 1 Park St, New Haven, CT 06504-8901 | 2015-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962872523 | Diana G Poulsen | Physician Assistant | Yale New Haven Pediatric Ed, 1 Park St, New Haven, CT 06504 | 2015-09-25 |
| 1679715395 | Rhonda Leigh Sawyer | Physician Assistant | 840 Howard Avenue, New Haven, CT 06504 | 2009-03-26 |
| 1205086915 | Christiane Brigitte Sabourin | Nurse Practitioner | 20 York Cb-2041, Ynh Medical Services PC, New Haven, CT 06504 | 2008-09-30 |
| 1821135187 | Jorge E Dotto | Pathology | Yale New Haven Hosp - Pathology, 20 York Street, Cp2-631, New Haven, CT 06504 | 2007-01-30 |
| 1528155009 | John K Hickey | Physician Assistant | 20 York St - Cb2041, Mill Hill Medical Conslutants, Inc, New Haven, CT 06504 | 2006-10-06 |
| 1750495610 | Leslie Hetzel O'connor | Clinical Nurse Specialist | Yale- New Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-08-18 |
| 1790729507 | Cynthia Anne Nielsen | Social Worker | 20 York St., Yale-new Haven Hospital, New Haven, CT 06504 | 2006-06-15 |
| 1023051901 | Michele N. Nyman Harris | Social Worker | Yale-new Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-06-14 |
| 1386627503 | Kerstin Elizabeth Calia | Internal Medicine | 20 York St Cb-2041, New Haven, CT 06504 | 2005-11-22 |
| 1598761546 | Edward Francois | Internal Medicine | 20 York Street Cb 2041, New Haven, CT 06504 | 2005-06-23 |
| Find all providers in zip 06504 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174951669 | Bela Kirit Dharia | Nurse Practitioner | 55 Lock Street, Yale Health, New Haven, CT 06511-3603 | 2013-10-22 |
| 1841566775 | Leora Hauptman | Nurse Practitioner | 330 Cedar St # 4093, New Haven, CT 06510-3218 | 2012-03-26 |
| 1790909620 | Jayne Foster Linley | Nurse Practitioner | 102 Nash Street, New Haven, CT 06511 | 2007-04-12 |
| 1194842575 | Susan Marie Peters | Nurse Practitioner | 139 Orchard Street, New Haven, CT 06519 | 2007-03-23 |
| 1922165141 | Martha K Swartz | Nurse Practitioner | 789 Howard Ave., Yale New Haven Hospital Pediatric Primary Care Center, New Haven, CT 06510 | 2007-01-03 |
| 1356416747 | Denise Catherine Wagner | Nurse Practitioner | Yale-new Haven Hospital, 20 York Street, Primary Care Center, New Haven, CT 06510 | 2006-11-21 |
| 1174694798 | Nicole Langan Maciejak | Nurse Practitioner | 35 Davis Street, Sbhc, New Haven, CT 06515-1601 | 2006-11-13 |
| 1033224670 | Ivette Becerra Ortiz | Nurse Practitioner | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-08-21 |
| 1619901535 | Earlene Jane Peckham | Nurse Practitioner | 191 Fountain St, New Haven, CT 06515-1901 | 2006-07-10 |
| 1174510440 | Jane Lawrence-riddell | Nurse Practitioner | 1 Long Wharf Dr, Suite 105, New Haven, CT 06511-5991 | 2005-10-03 |
| Find all providers in NEW HAVEN | ||||
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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.