JACLYN CONELIUS


Address: 40 Cross St, Norwalk, CT 06851-4647
Phone: 2038452160

JACLYN CONELIUS (NPI# 1821095613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 002734 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 40 CROSS ST
City NORWALK
State CT
Zip Code 06851-4647

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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

Competitor

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City NORWALK
Zip Code 06851

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Dataset Information

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.

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