MRS. BROOKE JENNIFER SAMUELSON


Address: 450 Columbus Blvd, Hartford, CT 06103-1801
Phone: 8608789483

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
687 Campbell Ave, West Haven, CT 065163774 2039326481

Office Location

Street Address 450 COLUMBUS BLVD
City HARTFORD
State CT
Zip Code 06103-1801

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City HARTFORD
Zip Code 06103

Improve Information

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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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