JACQUELINE ORTIZ-SKENDERIDIS (NPI# 1720428949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720428949 |
| Entity Type | Individual |
| Full Name | JACQUELINE ORTIZ-SKENDERIDIS |
| Credential | APRN |
| Practice Address |
21 Woodland St Ste 311 Hartford CT 06105-4318 |
| Mailing Address |
21 Woodland St Ste 311 Hartford CT 06105-4318 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | 8605276745 |
| Mailing Fax Number | 8607148140 |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2020-01-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
005364 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5364 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 358 W Main St, Avon, CT 060013643 | 8663892727 | |
| 498 Bushy Hill Rd, Simsbury, CT 060702931 | 8607149690 |
| Street Address |
21 WOODLAND ST STE 311 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-4318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352589 | Jeffrey Kiser | Nurse Practitioner | 123 Sisson Ave Fl 3, Hartford, CT 06106-1136 | 2020-09-30 |
| 1134686777 | Familycareofhartford Corp | Nurse Practitioner | 556 Zion St, Hartford, CT 06106-2348 | 2019-03-01 |
| 1649788035 | Brian Keith Talbert | Nurse Practitioner | 238 Moore St, Hartford, WV 25247-1823 | 2018-01-19 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| 1881140713 | Allison Forehand Locke | Nurse Practitioner | 169 N 2nd Ave, Hartford, AL 36344-1219 | 2016-08-31 |
| 1649641150 | Fredo J Clermont | Nurse Practitioner | 114 Woodland St Fl 7, Hartford, CT 06105 | 2015-10-09 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1497173462 | Nydia Gonzalez | Nurse Practitioner | 470 Maple Ave, Hartford, CT 06114-1215 | 2014-04-06 |
| 1518383728 | Anna L Waldner | Nurse Practitioner | 402 Emma Dr, Hartford, SD 57033-2061 | 2014-03-12 |
| 1982020350 | Tracey Marie Allen | Nurse Practitioner | 282 Washington St Ste D, Hartford, CT 06106-3322 | 2014-03-10 |
| Find all providers in HARTFORD | ||||
Please comment or provide details below to improve the information on JACQUELINE ORTIZ-SKENDERIDIS.
| 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.