MRS. BROOKE JENNIFER SAMUELSON (NPI# 1851440473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851440473 |
Entity Type | Individual |
Full Name | MRS. BROOKE JENNIFER SAMUELSON |
Other Name | MS. BROOKE JENNIFER JOHNSON |
Credential | APRN |
Practice Address |
450 Columbus Blvd Hartford CT 06103-1801 |
Mailing Address |
373 Clark Ave Branford CT 06405-4733 |
Practice Telephone | 8608789483 |
Mailing Telephone | 8608789483 |
Enumeration Date | 2007-01-10 |
Last Update Date | 2020-10-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
003325 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
687 Campbell Ave, West Haven, CT 065163774 | 2039326481 |
Street Address |
450 COLUMBUS BLVD |
City | HARTFORD |
State | CT |
Zip Code | 06103-1801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750315610 | Marie D'onofrio | Nurse Practitioner | 450 Columbus Blvd, Hartford, CT 06103-1801 | 2006-07-10 |
1851617047 | Unitedhealthcare Insurance Company, Inc. | Point of Service | 450 Columbus Blvd, Hartford, CT 06103-1801 | 2010-04-13 |
1790834984 | Alexandra B Villard | Registered Nurse | 450 Columbus Blvd, Hartford, CT 06103-1801 | 2007-01-09 |
1699824078 | Gary Arthur Miller | Physician Assistant | 450 Columbus Blvd, Hartford, CT 06103-1801 | 2007-01-09 |
1487702239 | United Health Group | Skilled Nursing Facility | 450 Columbus Blvd, Hartford, CT 06103-1801 | 2007-01-08 |
1881741452 | Erica Marie Martin | Registered Nurse | 450 Columbus Blvd, Hartford, CT 06103-1801 | 2007-01-04 |
1891857553 | Cheryl Lynn Doll | Nurse Practitioner | 450 Columbus Blvd, Hartford, CT 06103-1801 | 2006-12-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720577646 | Jennifer Elana Lassman | Counselor | 20 Front St Apt 505, Hartford, CT 06103 | 2018-05-07 |
1073020574 | Amc Counseling Services, LLC | Marriage & Family Therapist | 100 Pearl Street, 14th Floor, Hartford, CT 06103 | 2018-01-05 |
1376987834 | Marisol Acevedo Cruz LLC | Marriage & Family Therapist | 100 Wells St. Suite 2l, Bushnell On The Park, Hartford, CT 06103 | 2013-04-26 |
1619241676 | Maria-elena Elena Mouser | Physical Therapist | 100 Wells Street Suite 1b, Connecticut Orthopedic Rehabilitation Associates, Hartford, CT 06103 | 2012-03-08 |
1770777104 | Nicola C Kennedy | Dentist | 960 Main St, 8th Floor, Hartford Board of Ed Health Services, Hartford, CT 06103 | 2007-08-29 |
1801933908 | Anne Mcawley-leduc | Nurse Practitioner | 450 Columbus Ave, Hartford, CT 06103 | 2007-01-30 |
1194806083 | Brian W Courtney | Dentist | One Gold St., Hartford, CT 06103 | 2006-10-18 |
1689695587 | Diana D Hede | Dentist | 860 Main St, Health Srvcs, Hartford, CT 06103 | 2006-07-23 |
1851319826 | William A. Lohrer | Orthopaedic Surgery | Hartford Orthopedic Medicine - 100 Wells Street, Suite 1b, Hartford, CT 06103 | 2006-07-18 |
1518992874 | Jin Ho Chung | Physical Medicine & Rehabilitation | 100 Wells Street- Suite 1b, Hartford Orthopedic Medicine, Hartford, CT 06103 | 2006-07-12 |
Find all providers in zip 06103 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659783884 | Ellen O. Duell | Nurse Practitioner | 500 Blue Hills Ave/ Wound Care Center, St. Francis Medical Group, Inc, Hartford, CT 06112-1500 | 2014-05-22 |
1821426487 | Amber Christel Berry | Nurse Practitioner | 169 Whitney St, Hartford, CT 06105-2268 | 2013-10-17 |
1588831192 | Ruth Goldbaum | Nurse Practitioner | 55 Forest St, Hartford, CT 06105-3227 | 2008-05-13 |
1336317478 | Swati J Patel | Nurse Practitioner | 1000 Asylum Ave Ste 3212, Hartford, CT 06105-1707 | 2008-02-12 |
1063538866 | Marianne Longo | Nurse Practitioner | 900 Cottage Grove Rd, Hartford, CT 06152-0001 | 2007-03-22 |
1801933908 | Anne Mcawley-leduc | Nurse Practitioner | 450 Columbus Ave, Hartford, CT 06103 | 2007-01-30 |
1073676748 | Mary Ann Oberembt | Nurse Practitioner | 357 Franklin Ave, Hartford, CT 06114-2540 | 2006-12-18 |
1790769107 | Maria Anna M Go | Nurse Practitioner | Evercare, 450 Columbus Avenue, Hartford, CT 06103-6270 | 2005-11-30 |
1609409747 | Jennifer Thran | Nurse Practitioner | 80 Seymour St, Hartford, CT 06102-8000 | 2020-02-18 |
1679030142 | Leah D Ward | Nurse Practitioner | 100 Pearl St Fl 14, Hartford, CT 06103-4500 | 2019-02-20 |
Find all providers in HARTFORD |
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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.