JOSHUA MATLIN (NPI# 1891241147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891241147 |
| Entity Type | Individual |
| Full Name | JOSHUA MATLIN |
| Credential | CRNA |
| Practice Address |
2 Trap Falls Road Suite 414 Shelton CT 06484 |
| Mailing Address |
99 East River Drive 5th Floor East Hartford CT 06108-7301 |
| Practice Telephone | 8602820833 |
| Practice Fax Number | 8602820170 |
| Mailing Telephone | 8602820833 |
| Mailing Fax Number | 8602820170 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2 TRAP FALLS ROAD SUITE 414 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121064 | Fabiola Sara Balarezo | Pathology | 2 Trap Falls Road, Suite 414, Shelton, CT 06484-7354 | 2005-08-11 |
| 1528593555 | Lisa Girardin | Nurse Anesthetist, Certified Registered | 2 Trap Falls Road, Suite 414, Shelton, CT 06484 | 2017-04-27 |
| 1194257956 | Daveneet Randhawa | Nurse Anesthetist, Certified Registered | 2 Trap Falls Road, Suite 414, Shelton, CT 06484 | 2017-03-31 |
| 1689106924 | Rachel Petree | Nurse Anesthetist, Certified Registered | 2 Trap Falls Road, Suite 414, Shelton, CT 06484 | 2017-03-28 |
| 1891239315 | Melissa Soto | Nurse Anesthetist, Certified Registered | 2 Trap Falls Road, Suite 414, Shelton, CT 06484-7523 | 2016-12-19 |
| 1053853937 | David White | Nurse Anesthetist, Certified Registered | 2 Trap Falls Road, Suite 414, Shelton, CT 06484-7353 | 2016-11-09 |
| 1164973145 | Natalie Berardesca | Nurse Anesthetist, Certified Registered | 2 Trap Falls Road, Suite 414, Shelton, CT 06484 | 2016-10-14 |
| 1356892335 | Kirstie Phillips | Nurse Anesthetist, Certified Registered | 2 Trap Falls Road, Suite 414, Shelton, CT 06484 | 2016-10-14 |
| 1437600426 | Cally Regan | Nurse Anesthetist, Certified Registered | 2 Trap Falls Road, Suite 414, Shelton, CT 06484 | 2016-10-14 |
| 1720538192 | Geralou Marie Jamandre | Nurse Anesthetist, Certified Registered | 2 Trap Falls Road, Suite 414, Shelton, CT 06484 | 2016-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578183711 | Tycie Linneman | Student in an Organized Health Care Education/Training Program | 142 Wells View Rd, Shelton, CT 06484-5661 | 2020-04-17 |
| 1174997597 | Emily Deangelis | Student in an Organized Health Care Education/Training Program | 36 Hunters Ridge Rd, Shelton, CT 06484-3575 | 2015-11-23 |
| 1447760780 | Dinko Petrov | Student in an Organized Health Care Education/Training Program | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7621 | 2017-09-30 |
| 1871002998 | Erika Mango | Student in an Organized Health Care Education/Training Program | 2 Trap Falls Rd Ste 414, Shelton, CT 06484-7621 | 2017-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951584 | Lauren Dubois | Student in an Organized Health Care Education/Training Program | 248 Middletown Ave, Wethersfield, CT 06109-3805 | 2020-10-28 |
| 1427665546 | Eleni Angistrioti | Student in an Organized Health Care Education/Training Program | 135 Brittany Farms Rd Apt D, New Britain, CT 06053-1127 | 2020-09-24 |
| 1952916488 | Ashley Poprilo | Student in an Organized Health Care Education/Training Program | 19 Grand St, Middletown, CT 06457-2705 | 2020-09-11 |
| 1972116978 | Avery Iudice | Student in an Organized Health Care Education/Training Program | 116 Morgan St Apt 238a, Stamford, CT 06905-5441 | 2020-08-28 |
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1851917561 | Ryan Halloran | Student in an Organized Health Care Education/Training Program | 8 Apple St, Norwalk, CT 06851-4104 | 2020-06-18 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
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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.