STACY ANN DATRE (NPI# 1740507847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740507847 |
| Entity Type | Individual |
| Full Name | STACY ANN DATRE |
| Credential | RN |
| Practice Address |
5 Perryridge Rd Greenwich CT 06830-4608 |
| Mailing Address |
110 Colony Rd Seymour CT 06483-3252 |
| Practice Telephone | 2038633553 |
| Mailing Telephone | 2037322706 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
E54875 | CT | Nursing Service Providers |
| Street Address |
5 PERRYRIDGE RD |
| City | GREENWICH |
| State | CT |
| Zip Code | 06830-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280411 | Joseph Francis Andrews Jr. | Internal Medicine | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2005-07-26 |
| 1942825799 | Greenwich Hospital | Internal Medicine | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2020-06-08 |
| 1013536218 | June Evelyn Jeon | Student in an Organized Health Care Education/Training Program | 5 Perryridge Rd, Greenwich, CT 06830-4697 | 2020-04-09 |
| 1972122166 | Daniel Robert Dickstein | Student in an Organized Health Care Education/Training Program | 5 Perryridge Rd, Greenwich, CT 06830-4697 | 2020-04-08 |
| 1417586611 | Tushaar Vishal Shrimanker | Student in an Organized Health Care Education/Training Program | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2020-04-08 |
| 1629607817 | Kasandra Erazo | Student in an Organized Health Care Education/Training Program | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2020-04-08 |
| 1578192126 | Umar Nasser Hasan | Student in an Organized Health Care Education/Training Program | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2020-04-06 |
| 1326676883 | Zachary Paul Retalis | Student in an Organized Health Care Education/Training Program | 5 Perryridge Rd, Greenwich, CT 06830-4697 | 2020-03-31 |
| 1013545565 | Fatema Shabbir Esaa | Student in an Organized Health Care Education/Training Program | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2020-03-31 |
| 1952939670 | Caroline Pham | Student in an Organized Health Care Education/Training Program | 5 Perryridge Rd, Greenwich, CT 06830-4697 | 2020-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303341 | Cristina Castagna | Physical Therapist | 500 West Putnam Ave, 3rd Floor, Greenwich, CT 06830 | 2020-10-16 |
| 1194334334 | Cognitive and Behavioral Care Center, LLC | Counselor | 55 Old Post Road #2, Suite 2c, Greenwich, CT 06830 | 2020-07-23 |
| 1245866433 | Barbara Edeson Roth | Speech-Language Pathologist | The Nathaniel Witherell Home, 70 Parsonage Road, Greenwich, CT 06830 | 2020-03-19 |
| 1750938932 | Evelyn Ramos | Licensed Practical Nurse | 111 Wilbur Peck Ct, Greenwich, CT 06830 | 2019-08-21 |
| 1134773674 | Alexandra Blair Conway | Psychologist | 55 Holly Hill Lane Suite 170, Greenwich, CT 06830 | 2019-08-01 |
| 1821560871 | Brionna Emily Lyles | Licensed Practical Nurse | 111 Wilbur Court, Greenwich, CT 06830 | 2018-12-31 |
| 1568959815 | Backcountry Wellness Inc. | Social Worker | 7 Lincoln Avenue, Greenwich, CT 06830 | 2018-04-21 |
| 1316455876 | Hillary Rea Bercovici | Counselor | 8 Sound Shore Dr Ste 130, Greenwich, CT 06830 | 2018-01-18 |
| 1689181083 | Coastal Eye Surgeons LLC | Ophthalmology | 600 W Putnam Ave Lowr Level, Greenwich, CT 06830 | 2018-01-07 |
| 1952853814 | Tina M. Crystal | Psychologist | 75 Holly Hill Lane, Suite 300, Greenwich, CT 06830 | 2016-10-26 |
| Find all providers in zip 06830 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346643079 | Ana Gurley | Registered Nurse | 37 Buena Vista Dr, Greenwich, CT 06831-4210 | 2014-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554845 | Shelby Komisar | Registered Nurse | 1813 Peck Ln, Cheshire, CT 06410-4411 | 2020-06-30 |
| 1639717127 | Clara Bowron | Registered Nurse | 106 Shore Dr, Guilford, CT 06437-1590 | 2019-12-15 |
| 1063977510 | Abbey Farrell | Registered Nurse | 35 Silent Grv, Westport, CT 06880-2228 | 2019-02-08 |
| 1598194714 | Jeanne Nicole Farrell | Registered Nurse | 98 Lakewood Cir, South Glastonbury, CT 06073-2312 | 2013-11-07 |
| 1013158732 | Alicia V Casucci | Registered Nurse | 68 Oxbow Rd, Fairfield, CT 06824-7323 | 2009-03-09 |
| 1164498341 | Leslie Lapointe | Registered Nurse | 15 Teachers Dr, Norwich, CT 06360-4029 | 2006-02-27 |
| 1962029660 | Brittany Athena Molkenthin | Registered Nurse | 282 Washington St, Hartford, CT 06106-3322 | 2020-06-29 |
| 1376164152 | Marie Alexis Del Mundo Ingco | Registered Nurse | 76 New Britain Ave, Hartford, CT 06106-3305 | 2020-05-02 |
| 1194378539 | Melissa Jenkins Lee | Registered Nurse | 282 Washington St, Hartford, CT 06106-3322 | 2019-07-23 |
| 1598220063 | Kathleen Patricia Tighe | Registered Nurse | 24 Stevens St, Norwalk, CT 06850-3852 | 2019-02-08 |
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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.