SUSAN MARKHAM (NPI# 1760455786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760455786 |
| Entity Type | Individual |
| Full Name | SUSAN MARKHAM |
| Credential | APRN |
| Practice Address |
31 Sycamore St Suite 201-b Glastonbury CT 06033-4540 |
| Practice Telephone | 8606590629 |
| Practice Fax Number | 8607146698 |
| Mailing Telephone | 8606590629 |
| Mailing Fax Number | 8607146698 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2007-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 001758 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CT STATE LICENSE | 001758 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003470337 | Susan Markham | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2019-04-22 |
| Street Address |
31 SYCAMORE ST SUITE 201-B |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-4540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942272117 | Patricia Lampugnale | Family Medicine | 31 Sycamore St, Glastonbury, CT 06033-4540 | 2006-02-02 |
| 1801123849 | Rebecca L Randazzo | Nurse Practitioner | 31 Sycamore St, Suite 201-b, Glastonbury, CT 06033-4540 | 2009-11-12 |
| 1922200559 | Patricia Lampugnale, D.o., LLC | Family Medicine | 31 Sycamore St, Suite 201-b, Glastonbury, CT 06033-4540 | 2007-06-05 |
| 1679589956 | Primla Fazalud-din | Psychiatry & Neurology | 31 Sycamore St, Glastonbury, CT 06033-4540 | 2006-07-31 |
| 1649295155 | Radiology Associates of Hartford PC | Radiology | 31 Sycamore St, Glastonbury, CT 06033-4540 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342051 | Michele Lalonde Curiel | Nurse Practitioner | 55 Glen Pl, Glastonbury, CT 06033-2483 | 2020-10-06 |
| 1750829693 | Casey E. Mahoney | Nurse Practitioner | 305 Western Blvd Ste 100, Glastonbury, CT 06033-4380 | 2017-02-10 |
| 1588056790 | Heather Mchugh | Nurse Practitioner | 95 Glastonbury Blvd Ste 202, Glastonbury, CT 06033-4456 | 2015-02-25 |
| 1730238189 | Sarah D Matterfis | Nurse Practitioner | 320 Western Blvd Ste 102, Glastonbury, CT 06033-1276 | 2007-01-08 |
| 1689206526 | Colleen Elizabeth Laskoski | Nurse Practitioner | 330 Western Blvd, Glastonbury, CT 06033-4383 | 2020-02-09 |
| 1659932333 | Robin J Bansal | Nurse Practitioner | 131 New London Tpke Ste 105, Glastonbury, CT 06033-2246 | 2019-06-24 |
| 1174032155 | Alissa Watson | Nurse Practitioner | 210 New London Tpke, Glastonbury, CT 06033-2235 | 2017-09-22 |
| 1285963959 | Sarah E Thibodeau | Nurse Practitioner | 195 Eastern Blvd Ste 201, Glastonbury, CT 06033 | 2009-12-09 |
| 1396758454 | Valerie Kiefer | Nurse Practitioner | 55 Nye Rd, Glastonbury, CT 06033-1281 | 2006-08-13 |
| 1053374009 | Gail S. Smith | Nurse Practitioner | 210 New London Tpke, Glastonbury, CT 06033-2235 | 2006-04-10 |
| Find all providers in GLASTONBURY | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
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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.