MRS. SUSAN ANTOINETTE PAPPAS (NPI# 1720616246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720616246 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN ANTOINETTE PAPPAS |
| Credential | APRN |
| Practice Address |
88 Grandview Ave Waterbury CT 06708-2509 |
| Mailing Address |
582 Main St S Bethlehem CT 06751-2301 |
| Practice Telephone | 2035737265 |
| Mailing Telephone | 2032331723 |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
8786 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | APRN LICENSE | 8786 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083799118 | Susan D Pappas | Nurse Practitioner | 1201 Seven Locks Rd, Suite 111, Rockville, MD 20854-2957 | 2006-10-26 |
| Street Address |
88 GRANDVIEW AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912989468 | Jeannette Z Mitrukiewicz | Social Worker | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2005-11-18 |
| 1124592274 | Deon Johnson-allen | Nurse Practitioner | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2019-01-11 |
| 1245741701 | Tracy Follert | Counselor | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2017-10-23 |
| 1770992471 | Margaret Lapointe | Counselor | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2014-08-06 |
| 1285049742 | Ryan Daniel Doyle | Psychiatry & Neurology | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2014-06-24 |
| 1295095768 | Shannon Haluchak | Counselor | 88 Grandview Ave, Behavioral Health of Waterbury Hospital, Waterbury, CT 06708-2509 | 2012-05-18 |
| 1154574051 | Julie Marie Piepenbring | Social Worker | 88 Grandview Ave, Behavioral Health of Waterbury Hospital, Waterbury, CT 06708-2509 | 2008-10-23 |
| 1427208636 | Tracy Starbird | Counselor | 88 Grandview Ave, Behavioral Health of Waterbury Hospital, Waterbury, CT 06708-2509 | 2008-09-24 |
| 1639325574 | Samaria Erica Greene | Counselor | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2008-08-12 |
| 1427216357 | Robin A Woodward | Counselor | 88 Grandview Ave, West Main Behavioral Health, Waterbury, CT 06708-2509 | 2008-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072033 | Sarah Michelle Whalen | Nurse Practitioner | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2020-04-23 |
| 1578022166 | Daedly Potusek | Nurse Practitioner | 80 Phoenix Ave, Waterbury, CT 06702-1418 | 2019-03-14 |
| 1124592274 | Deon Johnson-allen | Nurse Practitioner | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2019-01-11 |
| 1356818421 | Olanike Oyeyemi Idowu | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-10-26 |
| 1104344506 | Kimberly Burns | Nurse Practitioner | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2017-09-06 |
| 1114462561 | Shantelle Brokaw | Nurse Practitioner | 128 Cedar Ave, Waterbury, CT 06705-2700 | 2016-12-21 |
| 1407201957 | Alexandria Smith | Nurse Practitioner | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2016-05-03 |
| 1134504715 | Nicholas James O'brien | Nurse Practitioner | 60 N Main St, 3rd Floor, Waterbury, CT 06702-1443 | 2015-07-24 |
| 1225461221 | Alyson Nicolosi | Nurse Practitioner | 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 | 2013-08-13 |
| 1780997601 | Barbara Kimble-goodman | Nurse Practitioner | 95 Thomaston Ave, Waterbury, CT 06702-1007 | 2010-07-20 |
| Find all providers in WATERBURY | ||||
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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.