DOROTHEA SMITH (NPI# 1699729475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699729475 |
| Entity Type | Individual |
| Full Name | DOROTHEA SMITH |
| Credential | NP |
| Practice Address |
2 Church St. New Haven CT 06519 |
| Mailing Address |
789 Howard Ave New Haven CT 06519-1304 |
| Practice Telephone | 2037872264 |
| Mailing Telephone | 2036885555 |
| Mailing Fax Number | 2036887274 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2016-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 002890 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
2890 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004249696 | 05 | |
| CT | MEDICARE OTHER | 500001470 | 01 |
| Street Address |
2 CHURCH ST. |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275044539 | Charlotte L Cusano | Nurse Practitioner | 46 Prince St Ste 207, New Haven, CT 06519-1600 | 2017-10-13 |
| 1497297683 | Abigail Wilpers | Nurse Practitioner | 1 Long Wharf Dr, New Haven, CT 06511-5991 | 2016-11-06 |
| 1306120936 | Tamika Simone Julien | Nurse Practitioner | 333 Cedar St, New Haven, CT 06510-3206 | 2011-09-30 |
| 1689964058 | Wenting Hou | Nurse Practitioner | 345 Whitney Ave, New Haven, CT 06511-2348 | 2011-04-19 |
| 1932426756 | Lucy O'connell | Nurse Practitioner | 374 Grand Ave, New Haven, CT 06513-3733 | 2010-05-04 |
| 1477698397 | Raeanne Depasquale | Nurse Practitioner | 345 Whitney Ave, New Haven, CT 06511-2348 | 2007-02-20 |
| 1053459438 | Cynthia W. Walsh | Nurse Practitioner | 345 Whitney Ave, New Haven, CT 06511-2348 | 2007-02-01 |
| 1881755296 | Clair L Kaplan | Nurse Practitioner | 345 Whitney Avenue, New Haven, CT 06511 | 2006-12-12 |
| 1205842275 | Susan F Mcdonlad | Nurse Practitioner | 345 Whitney Ave, New Haven, CT 06511-2348 | 2006-07-31 |
| 1659361046 | Cherrilyn Flemming Richmond | Nurse Practitioner | 800 Howard Ave, Yale Physician's Building, 3rd Floor, New Haven, CT 06519-1369 | 2005-10-26 |
| Find all providers in NEW HAVEN | ||||
Please comment or provide details below to improve the information on DOROTHEA SMITH.
| 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.