JACLYN CONELIUS (NPI# 1821095613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821095613 |
Entity Type | Individual |
Full Name | JACLYN CONELIUS |
Credential | NP |
Practice Address |
40 Cross St Norwalk CT 06851-4647 |
Practice Telephone | 2038452160 |
Practice Fax Number | 2033845157 |
Mailing Telephone | 2033338800 |
Mailing Fax Number | 2033845157 |
Enumeration Date | 2005-07-07 |
Last Update Date | 2013-04-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 002734 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
40 CROSS ST |
City | NORWALK |
State | CT |
Zip Code | 06851-4647 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285174847 | Gianna Rafetto | Physician Assistant | 40 Cross St, Norwalk, CT 06851-4647 | 2017-03-02 |
1124470299 | Melissa Kate Fraher | Registered Nurse | 40 Cross St, Suite 300b, Norwalk, CT 06851-4647 | 2016-07-12 |
1619367141 | Jessica Gonzalez | Physician Assistant | 40 Cross St, Norwalk, CT 06851-4647 | 2015-02-04 |
1942617980 | Kathleen Smith | Nurse Practitioner | 40 Cross St, Norwalk, CT 06851-4647 | 2014-07-22 |
1578981858 | Sean Butler | Pediatrics | 40 Cross St, Norwalk, CT 06851-4647 | 2014-04-02 |
1902240849 | Aniqa Anwar | Pediatrics | 40 Cross St, Norwalk, CT 06851-4647 | 2013-04-22 |
1194073049 | Christine K. Shanahan | Physician Assistant | 40 Cross St, Norwalk, CT 06851-4647 | 2012-08-27 |
1871841726 | Erin Denise Martin | Nurse Practitioner | 40 Cross St, Suite 300, Norwalk, CT 06851-4647 | 2012-08-27 |
1366726432 | Lynn M Nussbaum | Nurse Practitioner | 40 Cross St, Suite 300, Norwalk, CT 06851-4647 | 2011-10-06 |
1518254812 | Erica Ozanne | Nurse Practitioner | 40 Cross St, Norwalk, CT 06851-4647 | 2011-07-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
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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 |
---|---|---|---|---|
1710498308 | Jodi Lynn Schwab | Nurse Practitioner | 28 Executive Dr Ste C, Norwalk, OH 44857-2480 | 2017-10-23 |
1588632665 | Mary A Durand | Nurse Practitioner | 761 Main Ave Ste 201, Norwalk, CT 06851-1080 | 2006-03-14 |
1588275424 | Hope Walden | Nurse Practitioner | 34 Maple St, Norwalk, CT 06850-3815 | 2020-08-13 |
1487280574 | Shaira Cohen | Nurse Practitioner | 34 Maple St, Norwalk, CT 06850-3815 | 2020-03-20 |
1003372442 | Caroline Clara Pinkowish | Nurse Practitioner | 34 Maple St, Norwalk, CT 06850-3894 | 2019-02-11 |
1730694316 | Impact Health P.C. | Nurse Practitioner | 14 Westport Ave, Norwalk, CT 06851 | 2017-12-05 |
1942669569 | Heather Robinson | Nurse Practitioner | 272 Benedict Ave, Norwalk, OH 44857-2374 | 2016-02-11 |
1407220858 | Kathleen A Pundy | Nurse Practitioner | 120 Connecticut Ave, Norwalk, CT 06854-1525 | 2015-11-23 |
1598916033 | Michelle Rhoda Leonard | Nurse Practitioner | 761 Main Ave, Suite 101, Norwalk, CT 06851-1080 | 2008-10-02 |
1598952533 | Sally Anne Royston | Nurse Practitioner | 292 Benedict Ave, Norwalk, OH 44857-2374 | 2007-10-03 |
Find all providers in NORWALK |
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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.