CARLY BRUEGGESTRAT (NPI# 1871814509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871814509 |
Entity Type | Individual |
Full Name | CARLY BRUEGGESTRAT |
Credential | CRNA |
Practice Address |
7365 Main St Stratford CT 06614-1300 |
Practice Telephone | 2033843174 |
Practice Fax Number | 2033844619 |
Mailing Telephone | 2033843174 |
Mailing Fax Number | 2033844619 |
Enumeration Date | 2010-06-16 |
Last Update Date | 2010-10-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 074163 | CT | Nursing Service Providers |
Y | 367H00000X | Anesthesiologist Assistant | 0044440 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
7365 MAIN ST |
City | STRATFORD |
State | CT |
Zip Code | 06614-1300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528059623 | Frank Anthony Jordano Jr. | Pharmacist | 7365 Main St, Stratford, CT 06614-1300 | 2005-10-30 |
1043666373 | Oronoque Apothecary LLC | Pharmacy | 7365 Main St, Stratford, CT 06614-1300 | 2016-05-05 |
1366804205 | Oronoque Pharmacy | PACE Provider Organization | 7365 Main St, Stratford, CT 06614-1300 | 2016-03-21 |
1124379151 | Dustin F Rabine Pp LLC | Dentist | 7365 Main St, Stratford, CT 06614-1300 | 2012-10-01 |
1629336946 | Ling Chow | Registered Nurse | 7365 Main St, Suite 310, Stratford, CT 06614-1300 | 2012-04-24 |
1285911594 | True Health Family Chiropractic LLC | Chiropractor | 7365 Main St, Unit 13, Stratford, CT 06614-1300 | 2011-11-15 |
1558682237 | Michelle Keizerweerd | Registered Nurse | 7365 Main St, Suite 310, Stratford, CT 06614-1300 | 2010-06-17 |
1811217292 | Josh A Yoffe | Registered Nurse | 7365 Main St, Suite 310, Stratford, CT 06614-1300 | 2010-06-08 |
1629398177 | Nicole E Gipp | Registered Nurse | 7365 Main St, Suite 310, Stratford, CT 06614-1300 | 2010-06-07 |
1093995979 | Meghan Leary | Nurse Anesthetist, Certified Registered | 7365 Main St, Suite 310, Stratford, CT 06614-1300 | 2007-11-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
Find all providers in zip 06614 |
Taxonomy Code | 367H00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Anesthesiologist Assistant |
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215106711 | Sara Titus | Anesthesiologist Assistant | 2800 Main St, Saint Vincents Medical Center, Bridgeport, CT 06606-4201 | 2008-02-28 |
1447282124 | Elizabeth Ann Kolthay | Anesthesiologist Assistant | 24 Hospital Ave, Danbury, CT 06810-6099 | 2006-07-06 |
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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.