CARRIE L FIJAL (NPI# 1811483787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811483787 |
Entity Type | Individual |
Full Name | CARRIE L FIJAL |
Credential | NP |
Practice Address |
230 Waterford Pkwy S Waterford CT 06385-1219 |
Mailing Address |
7 Glastonbury Pl Unit 3 Glastonbury CT 06033-4486 |
Practice Telephone | 3744860444 |
Mailing Telephone | 8605085306 |
Enumeration Date | 2018-07-03 |
Last Update Date | 2019-09-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
308753 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
8366 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
45 Reade Pl, Poughkeepsie, NY 126013947 | 8452141830 |
Street Address |
230 WATERFORD PKWY S |
City | WATERFORD |
State | CT |
Zip Code | 06385-1219 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841331766 | Deborah Lynn Selm-orr | Nurse Practitioner | 230 Waterford Pkwy S, Waterford, CT 06385 | 2007-02-12 |
1205493442 | Michael T Szewczyk Jr. | Pharmacist | 230 Waterford Pkwy S, Waterford, CT 06385-1219 | 2019-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073140331 | Megan Plattner | Hearing Instrument Specialist | Waterford Commons 903-915 Hartford Tpke, Store 16, Waterford, CT 06385 | 2020-03-26 |
1174032288 | Winakor's Healing Practice | Social Worker | 758 Broad St. Ext., Waterford, CT 06385 | 2017-09-21 |
1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
1750810297 | Taylor Anne Tomasetti | Occupational Therapist | 24 Doyle Rd, Waterford, CT 06385 | 2017-06-08 |
1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
1225499007 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Waterford Tpke, Waterford, CT 06385 | 2016-03-08 |
1861876211 | Mallory Rose Devona | Counselor | 2 Leary Dr, Waterford, CT 06385 | 2015-07-15 |
1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
1194085076 | Meghana Rao Brito | Internal Medicine | 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 | 2012-05-24 |
Find all providers in zip 06385 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811906415 | Susan Lee Saltzman | Nurse Practitioner | 3650 Dixie Hwy, Waterford, MI 48329-4290 | 2006-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
1427689660 | Sajini M Roy | Nurse Practitioner | 172 Guinea Rd, Monroe, CT 06468-1044 | 2020-01-27 |
1073171393 | Sabine Donato Dabady | Nurse Practitioner | 287 Capitol Ave, Waterbury, CT 06705-2407 | 2019-06-01 |
1720599541 | Sherifa Bello | Nurse Practitioner | 1333 Burnside Ave Apt A3, East Hartford, CT 06108-1517 | 2017-10-19 |
1750808994 | Ronald S. Perpetua | Nurse Practitioner | 107 Bassett Rd, North Haven, CT 06473-1902 | 2017-08-28 |
1891247805 | Campbell Medical Care, LLC | Nurse Practitioner | 22 Parkwood Dr, Windsor, CT 06095-3142 | 2016-10-26 |
1861745259 | Marguerite Kalowsky Benoit | Nurse Practitioner | 187 Bouton St W, Stamford, CT 06907-1320 | 2012-10-22 |
1396977997 | Debra Innes Coyle | Nurse Practitioner | 85 Huckleberry Ln, Southington, CT 06489-4319 | 2009-08-14 |
1487727228 | Leeanne E Shaw-quinn | Nurse Practitioner | 30 Hyde Ave Ste 109, Vernon, CT 06066-4503 | 2006-11-17 |
1184648925 | Karen S Williams | Nurse Practitioner | 25 Witch Meadow Rd, Salem, CT 06420-3602 | 2006-07-26 |
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.