KRISTIN MARIE MAHAN (NPI# 1750663860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750663860 |
| Entity Type | Individual |
| Full Name | KRISTIN MARIE MAHAN |
| Practice Address |
28 Harris Fuller Rd Preston CT 06365-8201 |
| Practice Telephone | 8608879987 |
| Mailing Telephone | 8608879987 |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2013-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
004797 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265662027 | Kristin Campbell Mahan | Pharmacist | 1031 Bellevue Ave Ste 300, Saint Louis, MO 63117-1857 | 2009-07-15 |
| 1891203709 | Kristin Mahan | Developmental Therapist | 345a Greenwood St Ste B, Worcester, MA 01607-1753 | 2018-01-12 |
| 1366610917 | Kristin Mahan | Speech-Language Pathologist | 9 Lacrue Ave, Glen Mills, PA 19342-1062 | 2008-02-18 |
| 1487622957 | Kristin A Mahan | Family Medicine | 406 N 1st St, Vincennes, IN 47591-1340 | 2006-03-10 |
| Street Address |
28 HARRIS FULLER RD |
| City | PRESTON |
| State | CT |
| Zip Code | 06365-8201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639235534 | Carolyn Ann Trasko | Counselor | 57 Old Jewett City Rd, Preston, CT 06365-8010 | 2006-12-28 |
| 1235429754 | Melinda Mary Tyler | Marriage & Family Therapist | 84 River Rd, Preston, CT 06365-8023 | 2011-04-18 |
| 1871874537 | Summit Counseling LLC | Community/Behavioral Health | 43 Swantown Rd, Preston, CT 06365-8134 | 2011-09-07 |
| 1710596366 | Jessica Nicole Anderson | Lactation Consultant, Non-RN | 29 Middle Rd, Preston, CT 06365-8207 | 2020-07-29 |
| 1417599846 | David Frazer | Counselor | 12 Cider Mill Rd, Preston, CT 06365-8501 | 2019-10-17 |
| 1366622144 | Lotus Moon Counseling Centre | Counselor | 148 Route 2, Preston, CT 06365-8520 | 2007-11-08 |
| 1295044915 | Susan L Porter | Registered Nurse | 289 Miller Rd, Preston, CT 06365-8533 | 2010-09-29 |
| 1336422708 | Jill M Larson | Social Worker | 124 Route 2a, Preston, CT 06365-8537 | 2011-09-22 |
| 1699748871 | Poquetanuck Volunteer Fire Department Inc | Ambulance | 87 Route 2a, Preston, CT 06365-8538 | 2006-02-09 |
| 1720120447 | Preston Public Schools | Local Education Agency (LEA) | 325 Shetucket Tpke, Preston, CT 06365-8654 | 2007-02-12 |
| Find all providers in zip 06365 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063696177 | Arlene Stevens | Nurse Practitioner | 136 Lednum Avenue, Suite 5, Preston, MD 21655 | 2007-12-26 |
| 1083789671 | Roxanne Froerer | Nurse Practitioner | 134 S State St, Preston, ID 83263-1241 | 2006-11-21 |
| 1851455729 | Muriel May Garvis | Nurse Practitioner | 134 S State St, Preston, ID 83263-1241 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1023618634 | Jessica Anne Butt | Nurse Practitioner | 93 E Putnam Rd, Putnam, CT 06260-2824 | 2020-11-01 |
| 1962002691 | Marielle Hellerud Khuen | Nurse Practitioner | 39 Fifth St, Norwalk, CT 06855-2402 | 2020-10-30 |
| 1043810013 | Alexa L Carolan | Nurse Practitioner | 24 Penny Ln, Watertown, CT 06795-1734 | 2020-10-29 |
| 1891394219 | Azra Alagic | Nurse Practitioner | 374 Cypress Rd, Newington, CT 06111-5616 | 2020-10-19 |
| 1396352589 | Jeffrey Kiser | Nurse Practitioner | 123 Sisson Ave Fl 3, Hartford, CT 06106-1136 | 2020-09-30 |
| 1932716628 | Tabia Thompson-lamothe | Nurse Practitioner | 16 Woodhill Rd, Trumbull, CT 06611-3356 | 2020-09-26 |
| 1356958243 | Lisa Solari | Nurse Practitioner | 34 Centerwood Rd, Newington, CT 06111-3107 | 2020-09-25 |
| 1558977801 | Megan Bouchard | Nurse Practitioner | 2351 Summer St, Stamford, CT 06905-4504 | 2020-09-22 |
| 1316553233 | Anylen Ruiz Ayala | Nurse Practitioner | 109 W Center St, Manchester, CT 06040-4917 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
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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.