MR. DAVID STICKNEY JR. (NPI# 1770817876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770817876 |
| Entity Type | Individual |
| Full Name | MR. DAVID STICKNEY JR. |
| Credential | MS, ATC, PES |
| Practice Address |
600 Main St Bridgeport CT 06604-5105 |
| Practice Telephone | 2033454816 |
| Mailing Telephone | 2033454816 |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2015-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 000851 | CT | Other Service Providers |
| N | 174400000X | Specialist | RT004437 | PA | Other Service Providers |
| Street Address |
600 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06604-5105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457637928 | Matthew James Bain | Specialist/Technologist | 600 Main St, Bridgeport, CT 06604-5105 | 2011-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780163246 | Jill K Bebey | Pharmacist | 564 A Park Ave, Bridgeport, CT 06604 | 2018-08-07 |
| 1538663430 | Ryan Attar | Naturopath | 129 Columbia St, Bridgeport, CT 06604 | 2018-03-23 |
| 1487153375 | Fe Y Esperanza Home Care Services | Home Health | 2032 Main Street, Bridgeport, CT 06604 | 2018-02-06 |
| 1013423466 | Va.lu Able Home Care LLC | Registered Nurse | 1000 Lafayette Boulvard, Bridgeport, CT 06604 | 2017-12-21 |
| 1679970172 | Aarti Jawa | Dentist | 594 Pequonnoack Street, Bridgeport, CT 06604 | 2014-11-26 |
| 1932521473 | Anthony Santostefano | Dentist | 594 Pequonnock Street, Bridgeport, CT 06604 | 2014-01-18 |
| 1699011536 | Vanessa Frances Doyle | Naturopath | 115 Broad Street, C/o Center of Excellence, Bridgeport, CT 06604 | 2012-12-21 |
| 1942463302 | Joanna Conte Mcgary | Naturopath | 60 Lafayette Street, Naturopathic Medical Center University of Bridgeport, Bridgeport, CT 06604 | 2008-07-07 |
| 1346415221 | Jenna Lyn Blasi | Naturopath | 60 Lafayette, University of Bridgeport College of Naturopathic Medici, Bridgeport, CT 06604 | 2008-04-23 |
| 1275704462 | Watermark 3030 Park LLC | Skilled Nursing Facility | 3030 Park Ave, Bridgeport, CT 06604 | 2008-03-17 |
| Find all providers in zip 06604 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386193993 | Tjuana Stewart | Specialist | 332 Wells St Apt 108, Bridgeport, CT 06606-5466 | 2016-09-23 |
| 1255888376 | Doreen Torres | Specialist | 243 Court D Bldg 42, Bridgeport, CT 06610 | 2016-09-07 |
| 1497164479 | Jessica Riley | Specialist | 1913 Meadowbrook Rd, Bridgeport, WV 26330-7076 | 2014-08-04 |
| 1225379449 | Rafael Mediavilla | Specialist | 33 Renwick Dr, Bridgeport, CT 06604-2037 | 2013-03-13 |
| 1306193651 | Terrence Gerard Robinson-brown | Specialist | 549 Ogden St, Bridgeport, CT 06608-1732 | 2012-08-06 |
| 1508186883 | Gold Coast Allure, LLC | Specialist | 695 Beechwood Ave, Bridgeport, CT 06605-1606 | 2010-06-09 |
| 1447497144 | Amanda Dawn Mccray | Specialist | 529 East Main St, Bridgeport, WV 26330 | 2009-01-16 |
| 1326205550 | Brent Perdrizet | Specialist | 267 Mill Hill, Bridgeport, CT 06606 | 2008-05-16 |
| 1487869228 | Leopold Strubbe | Specialist | 135 Harmony St, Bridgeport, CT 06606-4357 | 2007-05-14 |
| 1184796906 | Kathy M Hoare | Specialist | 18 Wexford Way, Bridgeport, WV 26330 | 2006-11-15 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06604 |
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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.