MRS. ANNA HAZEL GODDARD (NPI# 1720194939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720194939 |
| Entity Type | Individual |
| Full Name | MRS. ANNA HAZEL GODDARD |
| Other Name | ANNA HAZEL TIELSCH-GODDARD |
| Credential | APRN, CPNP-PC |
| Practice Address |
7 Vauxhall St Child & Family Agency of Sect, Inc. New London CT 06320-5711 |
| Mailing Address |
255 Hempstead St New London CT 06320-6204 |
| Practice Telephone | 8604422797 |
| Practice Fax Number | 8607013776 |
| Mailing Telephone | 8604432896 |
| Mailing Fax Number | 8604425909 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2016-04-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 73362 | CT | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
3291 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
765853 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548658123 | Anna Bauguess Goddard | Counselor | 1 Zillicoa St, Asheville, NC 28801-1038 | 2015-01-05 |
| Street Address |
7 VAUXHALL ST CHILD & FAMILY AGENCY OF SECT, INC. |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467476853 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 7 Vauxhall St, New London, CT 06320-5711 | 2006-07-27 |
| 1891307716 | Dashelle Grant | Counselor | 7 Vauxhall St, New London, CT 06320-5711 | 2020-08-21 |
| 1942828660 | Hailie Baton-kirk | Marriage & Family Therapist | 7 Vauxhall St, New London, CT 06320-5711 | 2020-07-09 |
| 1356964779 | Cassandra L Leuchner | Counselor | 7 Vauxhall St, New London, CT 06320-5711 | 2020-05-20 |
| 1396368908 | Alyssa Cecelia Hancock | Social Worker | 7 Vauxhall St, New London, CT 06320-5711 | 2020-05-19 |
| 1861014979 | Isabella Nematalla | Social Worker | 7 Vauxhall St, New London, CT 06320-5711 | 2020-05-12 |
| 1417579640 | Margarita Enid Rodriguez | Marriage & Family Therapist | 7 Vauxhall St, New London, CT 06320-5711 | 2020-05-11 |
| 1255976965 | Taylor Pyka | Social Worker | 7 Vauxhall St, New London, CT 06320-5711 | 2019-11-18 |
| 1730739251 | Devon Hall | Social Worker | 7 Vauxhall St, New London, CT 06320-5711 | 2019-09-17 |
| 1285282277 | Jessica Heuschele | Social Worker | 7 Vauxhall St, New London, CT 06320-5711 | 2019-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447265376 | Beth Ann J Podsobinski | Nurse Practitioner | 490 Jefferson St, New London High School-based Health Center, New London, CT 06320 | 2006-07-29 |
| 1861511560 | Mark B Robel | Nurse Practitioner | 255 Hempstead St, New London, CT 06320-6204 | 2007-03-27 |
| 1508951799 | Mary Louise Robbenhaar-fretz | Nurse Practitioner | 255 Hempstead St, New London, CT 06320-6204 | 2006-10-04 |
| 1457467177 | Anne Ravenscroft | Nurse Practitioner | 75 Granite St, New London, CT 06320-5730 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447878855 | Ashley Elusma | Nurse Practitioner | 92 New London Tpke # 1, Norwich, CT 06360-2616 | 2020-07-13 |
| 1396382792 | Jessca Morcone | Nurse Practitioner | 640 Brookside Dr, Fairfield, CT 06824-2419 | 2019-12-04 |
| 1790337137 | Elizabeth R Renker | Nurse Practitioner | 97 Barnes Rd Ste 6, Wallingford, CT 06492-1885 | 2019-07-16 |
| 1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
| 1487180840 | Meghan Mccarthy Warzoha | Nurse Practitioner | 2001 W Main St Ste 132, Stamford, CT 06902-4544 | 2017-05-04 |
| 1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1740602515 | Smart Start Pediatrics | Nurse Practitioner | 27 Sycamore St., Suite 300, Glastonbury, CT 06033 | 2014-01-14 |
| 1780013102 | Elizabeth Anavy | Nurse Practitioner | 195 Hillandale Ave, Stamford, CT 06902-2823 | 2013-11-06 |
| 1174951669 | Bela Kirit Dharia | Nurse Practitioner | 55 Lock Street, Yale Health, New Haven, CT 06511-3603 | 2013-10-22 |
| Find all providers with the same taxonomy | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
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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.