JESSICA RICCIARDELLI (NPI# 1831188598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831188598 |
| Entity Type | Individual |
| Full Name | JESSICA RICCIARDELLI |
| Credential | APRN |
| Practice Address |
300 Main St East Haven CT 06512-2904 |
| Practice Telephone | 2034698882 |
| Practice Fax Number | 2034679973 |
| Mailing Telephone | 2034698882 |
| Mailing Fax Number | 2034679973 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
001673 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 MAIN ST |
| City | EAST HAVEN |
| State | CT |
| Zip Code | 06512-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245562545 | Cindy Jayanetti | Registered Nurse | 300 Main St, East Haven, CT 06512-2904 | 2010-02-11 |
| 1376624106 | East Haven Pediatrics P.C. | Nurse Practitioner | 300 Main St, East Haven, CT 06512-2904 | 2006-10-18 |
| 1053300822 | Shi Jen Cheng | Pediatrics | 300 Main St, East Haven, CT 06512-2904 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760040489 | Caroline Grace Wajdowicz | Specialist/Technologist | 114 Eddon Drive, East Haven, CT 06512 | 2019-05-29 |
| 1194074070 | Albert Marshall D'onofrio | Dentist | 300 Hemingway Ave., East Haven, CT 06512 | 2012-09-06 |
| 1073654158 | Tom A Davies I | Pharmacist | 392 Hemingway Ave., East Haven, CT 06512 | 2007-02-09 |
| 1346326840 | Susanne E Davis | Counselor | 595 Thompson Avenue, East Haven Counseling & Community Services, East Haven, CT 06512 | 2006-10-27 |
| 1124111828 | Ronald R. Montano | Dentist | 310 Main Street, East Haven, CT 06512 | 2006-10-02 |
| 1518985183 | Town of East Haven East Haven Counseling and Community Services | Clinic/Center | 595 Thompson Ave, East Haven Counseling & Community Services, East Haven, CT 06512 | 2006-07-18 |
| 1386629020 | Michael J. Vandlik, Dmd&associates LLC | Dentist | 280 Main Street, East Haven, CT 06512 | 2005-12-14 |
| 1174507230 | Tarvinder Pal Singh Arora | Dentist | 300 Hemingway Ave, Ste #3, East Haven, CT 06512 | 2005-12-02 |
| 1457342651 | Whispering Pines Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 38 Talmadge Avenue, East Haven, CT 06512 | 2005-11-04 |
| 1407477417 | T & S Home Care Agency LLC | Home Health | 5 Chamberlain Pl, New Haven, CT 06512 | 2020-04-30 |
| Find all providers in zip 06512 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376624106 | East Haven Pediatrics P.C. | Nurse Practitioner | 300 Main St, East Haven, CT 06512-2904 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447878855 | Ashley Elusma | Nurse Practitioner | 92 New London Tpke # 1, Norwich, CT 06360-2616 | 2020-07-13 |
| 1396382792 | Jessca Morcone | Nurse Practitioner | 640 Brookside Dr, Fairfield, CT 06824-2419 | 2019-12-04 |
| 1790337137 | Elizabeth R Renker | Nurse Practitioner | 97 Barnes Rd Ste 6, Wallingford, CT 06492-1885 | 2019-07-16 |
| 1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
| 1487180840 | Meghan Mccarthy Warzoha | Nurse Practitioner | 2001 W Main St Ste 132, Stamford, CT 06902-4544 | 2017-05-04 |
| 1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1740602515 | Smart Start Pediatrics | Nurse Practitioner | 27 Sycamore St., Suite 300, Glastonbury, CT 06033 | 2014-01-14 |
| 1780013102 | Elizabeth Anavy | Nurse Practitioner | 195 Hillandale Ave, Stamford, CT 06902-2823 | 2013-11-06 |
| 1174951669 | Bela Kirit Dharia | Nurse Practitioner | 55 Lock Street, Yale Health, New Haven, CT 06511-3603 | 2013-10-22 |
| Find all providers with the same taxonomy | ||||
| City | EAST HAVEN |
| Zip Code | 06512 |
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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.