MS. REBECCA L RANDAZZO (NPI# 1801123849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801123849 |
| Entity Type | Individual |
| Full Name | MS. REBECCA L RANDAZZO |
| Other Name | MS. REBECCA L MACDONALD |
| 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 | 2009-11-12 |
| Last Update Date | 2009-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
004238 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 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 |
| 1760455786 | Susan Markham | Nurse Practitioner | 31 Sycamore St, Suite 201-b, Glastonbury, CT 06033-4540 | 2006-02-09 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063048643 | Bharat Bhushan | Nurse Practitioner | 241 Paxton Way, Glastonbury, CT 06033-3387 | 2020-03-16 |
| 1770954109 | Elizabeth Hassan | Nurse Practitioner | 86 Surrey Ln, Glastonbury, CT 06033-3259 | 2015-10-12 |
| 1417500208 | Meghan Chafee | Nurse Practitioner | 2639 Main St, Glastonbury, CT 06033-2023 | 2019-07-20 |
| 1699232207 | Kathleen Marie Miller | Nurse Practitioner | 330 Western Blvd Ste 102, Glastonbury, CT 06033-4383 | 2019-03-01 |
| 1326521873 | Jamie Taylor | Nurse Practitioner | 195 Eastern Blvd Ste 201, Glastonbury, CT 06033-4353 | 2018-09-11 |
| 1346729928 | Melanie Tidmarsh | Nurse Practitioner | 2639 Main St, Glastonbury, CT 06033-2023 | 2018-08-14 |
| 1427587179 | Sara D Moore | Nurse Practitioner | 27 Sycamore St Ste 300, Glastonbury, CT 06033-7208 | 2017-06-07 |
| 1134585698 | Emily Jane Uy | Nurse Practitioner | 2928 Main St Ste 101, Glastonbury, CT 06033-1007 | 2016-01-13 |
| 1649645292 | Ann Kabza | Nurse Practitioner | 2639 Main St, Glastonbury, CT 06033-2023 | 2015-12-08 |
| 1396112207 | Felicia S Addae | Nurse Practitioner | 2639 Main St, Glastonbury, CT 06033-2023 | 2015-08-26 |
| Find all providers in GLASTONBURY | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
Please comment or provide details below to improve the information on MS. REBECCA L RANDAZZO.
| 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.