AMY KOLACZENKO (NPI# 1699320937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699320937 |
| Entity Type | Individual |
| Full Name | AMY KOLACZENKO |
| Credential | APRN |
| Practice Address |
631 S Quaker Ln West Hartford CT 06110-1026 |
| Mailing Address |
7 Minnie Ln Wethersfield CT 06109-3997 |
| Practice Telephone | 8602335133 |
| Mailing Telephone | 8604636412 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 8368 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
631 S QUAKER LN |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06110-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831447481 | Cathryn Morgan | Physical Therapist | 631 S Quaker Ln, West Hartford, CT 06110-1026 | 2012-08-29 |
| 1750924429 | Patrene Rhoden | Registered Nurse | 631 S Quaker Ln, West Hartford, CT 06110 | 2019-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306467030 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1500 New Britain Ave, H216, West Hartford, CT 06110 | 2020-05-05 |
| 1962903492 | Mitchell Graham | Chiropractor | 121 Talcott Rd, West Hartford, CT 06110 | 2018-02-21 |
| 1417302829 | Kaitlyn Roggi | Behavioral Analyst | 101 South St Fl 2, West Hartford, CT 06110 | 2016-05-04 |
| 1487036802 | Nino Gigauri | Internal Medicine | 114 Woodlawn St, Hartford, CT 06110 | 2015-06-22 |
| 1093082174 | Shital Makati | Pharmacist | 940 South Quaker Lane, West Hartford, CT 06110 | 2011-11-17 |
| 1376842948 | Kenneth Reeve | Pediatrics | 1459a New Britain Ave, West Hartford, CT 06110 | 2011-03-22 |
| 1225368913 | Jenny Alzate Lpc LLC | Counselor | 78 Cambridge St, West Hartford, CT 06110 | 2010-01-04 |
| 1821200957 | Advocate Community Care Agency, Inc. | Home Delivered Meals | 1086 New Britain Ave, West Hartford, CT 06110 | 2007-05-03 |
| 1730257155 | Catherine Ann Staunton | Physical Therapist | 1350 Chapel Street, New Haven, CT 06110 | 2006-12-01 |
| 1689750002 | Pamela M Matuszewski | Optometrist | 1445 New Britain Ave, W Hartford, CT 06110 | 2006-10-27 |
| Find all providers in zip 06110 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801377502 | Dana Andreo | Nurse Practitioner | 65 Memorial Rd Ste 435, West Hartford, CT 06107-4205 | 2018-08-22 |
| 1699097048 | James Mark Lazenby | Nurse Practitioner | 134 Woodrow St, West Hartford, CT 06107-3061 | 2010-02-25 |
| 1518979855 | Amy Louise Smith- Bassett | Nurse Practitioner | 74 Park Rd Ste 2, West Hartford, CT 06119-1898 | 2006-08-13 |
| 1982615258 | Margaret Brigham | Nurse Practitioner | 97 South St, Suite 101, West Hartford, CT 06110-1960 | 2006-08-11 |
| 1184656647 | Gladys Quinones | Nurse Practitioner | 1007 Farmington Ave Ste 3a, West Hartford, CT 06107-2107 | 2006-07-07 |
| 1407816697 | Danielle R Marenco | Nurse Practitioner | 345 N Main St Ste 318, West Hartford, CT 06117-2508 | 2006-03-23 |
| 1144299694 | Rebekah Venezia Pointek | Nurse Practitioner | 20 Isham Rd Ste 100, West Hartford, CT 06107-2204 | 2006-03-16 |
| 1225492507 | Jessica Urban-jack | Nurse Practitioner | 1162 New Britain Ave, West Hartford, CT 06110-2410 | 2016-04-12 |
| 1063875094 | Camille Margaux Karalekas | Nurse Practitioner | 7 N Main St, West Hartford, CT 06107 | 2016-03-29 |
| 1578973905 | Alexandra N Schain | Nurse Practitioner | 631 Quaker Ln S, West Hartford, CT 06110-1026 | 2014-05-07 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06110 |
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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.