KATHLEEN MILDRED HUMPAGE (NPI# 1811531171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811531171 |
| Entity Type | Individual |
| Full Name | KATHLEEN MILDRED HUMPAGE |
| Credential | RN, NCBTMB |
| Practice Address |
138 Wood Pond Rd Glastonbury CT 06033-3702 |
| Practice Telephone | 8605084245 |
| Practice Fax Number | 8606592559 |
| Mailing Telephone | 8605084245 |
| Mailing Fax Number | 8606592559 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
R19817 | CT | Nursing Service Providers |
| Street Address |
138 WOOD POND RD |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-3702 |
| 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 | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407402415 | Mind Innovation Services LLC | Registered Nurse | 10 Hollis Lndg, Glastonbury, CT 06033-3856 | 2019-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415953 | Simmi S Narula | Registered Nurse | 1 Brenner Rd, Wilton, CT 06897-4701 | 2020-07-27 |
| 1356968887 | Heather Hogaboom | Registered Nurse | 139 Coe Rd, Wolcott, CT 06716-2513 | 2020-07-01 |
| 1144843616 | Michael Skolnick | Registered Nurse | West Grad Building, Institute of Living, 200 Retreat Ave, Hartford, CT 06102 | 2020-05-19 |
| 1174144539 | Barbara Joy Wetzel | Registered Nurse | 84 Donahue Rd, North Granby, CT 06060-1402 | 2020-04-27 |
| 1538790050 | Patrycja Olechniej | Registered Nurse | 90 S Main St Ste 202, Middletown, CT 06457-3649 | 2020-02-03 |
| 1669018123 | Megan Mary Kelly Gilman | Registered Nurse | 264 Church St, Guilford, CT 06437-2439 | 2019-11-20 |
| 1245875434 | Maryann Carter | Registered Nurse | 139 Newent Rd, Lisbon, CT 06351-2927 | 2019-11-12 |
| 1396398061 | Aprn4u LLC | Registered Nurse | 304 Main St Ste 401d, Farmington, CT 06032-2985 | 2019-07-22 |
| 1720543267 | Rebeca Davis-tellez | Registered Nurse | 29 Weantinock Dr, New Milford, CT 06776-3084 | 2019-02-08 |
| 1023485208 | Jessica Lee Adelman | Registered Nurse | 51 Gillett St, Hartford, CT 06105-2636 | 2015-08-24 |
| Find all providers with the same taxonomy | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
Please comment or provide details below to improve the information on KATHLEEN MILDRED HUMPAGE.
| 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.