JUDITH KATHRYN GREENE (NPI# 1861587024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861587024 |
Entity Type | Individual |
Full Name | JUDITH KATHRYN GREENE |
Other Name | JUDITH KATHRYN GAVIGAN |
Practice Address |
225 Hopmeadow St Suite # 100 Weatogue CT 06089-9782 |
Mailing Address |
10 Sachems Trl Po Box 383 West Simsbury CT 06092-2525 |
Practice Telephone | 8606580465 |
Mailing Telephone | 8606518428 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2007-08-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
002331 | CT | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194747568 | Judith Greene | Nurse Practitioner | 1855 Executive Park Nw, Cleveland, TN 37312-2735 | 2006-07-24 |
1558388439 | Judith Greene | Social Worker | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 | 2006-07-16 |
Street Address |
225 HOPMEADOW ST SUITE # 100 |
City | WEATOGUE |
State | CT |
Zip Code | 06089-9782 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609887553 | Richard H Bason | Pediatrics | 225 Hopmeadow St, Weatogue, CT 06089-9782 | 2006-08-10 |
1952901399 | Alexander Paul Sabia | Specialist/Technologist | 225 Hopmeadow St, Weatogue, CT 06089-9782 | 2020-10-26 |
1669820007 | Jamie Lyn Schned | Pediatrics | 225 Hopmeadow St, Weatogue, CT 06089-9782 | 2016-05-26 |
1316324106 | Elizabeth A Parcella | Dietitian, Registered | 225 Hopmeadow St, Weatogue, CT 06089-9782 | 2015-04-30 |
1205198777 | Michelle Palmer | Speech-Language Pathologist | 225 Hopmeadow St, Weatogue, CT 06089-9782 | 2012-06-11 |
1760750293 | Tricia Rose Tierney | Occupational Therapist | 225 Hopmeadow St, Weatogue, CT 06089-9782 | 2011-12-12 |
1861773962 | Julianne Kelley Smith | Speech-Language Pathologist | 225 Hopmeadow St, Suite 500, Weatogue, CT 06089-9782 | 2011-09-01 |
1659659365 | Katy Diamond | Occupational Therapist | 225 Hopmeadow St, Suite 500, Weatogue, CT 06089-9782 | 2011-07-29 |
1689905671 | Wait Your Turn LLC | Speech-Language Pathologist | 225 Hopmeadow St, Suite 500, Weatogue, CT 06089-9782 | 2010-01-15 |
1497954184 | Mark Andrew Sabo | Pediatrics | 225 Hopmeadow St, Weatogue, CT 06089-9782 | 2007-07-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285981761 | Lora Long Feld | Nurse Practitioner | 14 Aspenwood, Weatogue, CT 06089 | 2012-08-14 |
1689798068 | Sophia Diana Beason-brown | Dentist | 381 Hopmeadow St, Suite 301, Weatogue, CT 06089 | 2007-03-19 |
1902803299 | Jacqueline Ms Sloan | Pediatrics | 225 Hopmeadow Street, Weatogue, CT 06089 | 2005-07-01 |
1598121428 | Michael Chikezie Ijomah | Chiropractor | 381 Hopmeadow St, Suite 303, Simsbury, CT 06089 | 2016-01-07 |
1033419130 | L. Andrew Tolk, Dc | Chiropractor | 102 Hopmeadow St, Simsbury, CT 06089 | 2010-10-25 |
1326149238 | Margaret M Bason | Dermatology | 225 Hopmeadow Street, Suite 300, Simsbury, CT 06089 | 2006-09-25 |
1164447215 | Christopher Alan Wallace | Pathology | 270 Farmington Avenue, Suite 332, Farmington, CT 06089 | 2006-07-12 |
1952337727 | Richard Alan Feifer | Internal Medicine | 29 Spruce Ln, Weatogue, CT 06089-9401 | 2006-06-24 |
1114326394 | Erica Kapiloff | Social Worker | 15 Spruce Ln, Weatogue, CT 06089-9401 | 2014-08-14 |
1427054535 | Valley Rehabilitation Center, Inc. | Specialist | 110 Hopmeadow St, Ste 300, Simsbury, CT 06089-9407 | 2005-06-23 |
Find all providers in zip 06089 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
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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 |
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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.