VIKTORIYA ANATOLIEVNA STORK (NPI# 1891278529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891278529 |
| Entity Type | Individual |
| Full Name | VIKTORIYA ANATOLIEVNA STORK |
| Credential | APRN |
| Practice Address |
35 Danforth Ln West Hartford CT 06110-2436 |
| Practice Telephone | 8609877341 |
| Mailing Telephone | 8609877341 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 7850 | CT | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7850 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
7850 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
35 DANFORTH LN |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06110-2436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306467030 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1500 New Britain Ave, H216, West Hartford, CT 06110 | 2020-05-05 |
| 1962903492 | Mitchell Graham | Chiropractor | 121 Talcott Rd, West Hartford, CT 06110 | 2018-02-21 |
| 1417302829 | Kaitlyn Roggi | Behavioral Analyst | 101 South St Fl 2, West Hartford, CT 06110 | 2016-05-04 |
| 1487036802 | Nino Gigauri | Internal Medicine | 114 Woodlawn St, Hartford, CT 06110 | 2015-06-22 |
| 1093082174 | Shital Makati | Pharmacist | 940 South Quaker Lane, West Hartford, CT 06110 | 2011-11-17 |
| 1376842948 | Kenneth Reeve | Pediatrics | 1459a New Britain Ave, West Hartford, CT 06110 | 2011-03-22 |
| 1225368913 | Jenny Alzate Lpc LLC | Counselor | 78 Cambridge St, West Hartford, CT 06110 | 2010-01-04 |
| 1821200957 | Advocate Community Care Agency, Inc. | Home Delivered Meals | 1086 New Britain Ave, West Hartford, CT 06110 | 2007-05-03 |
| 1730257155 | Catherine Ann Staunton | Physical Therapist | 1350 Chapel Street, New Haven, CT 06110 | 2006-12-01 |
| 1689750002 | Pamela M Matuszewski | Optometrist | 1445 New Britain Ave, W Hartford, CT 06110 | 2006-10-27 |
| Find all providers in zip 06110 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871149153 | Katherine Krevolin | Nurse Practitioner | 53 Ferncliff Dr, West Hartford, CT 06117-1013 | 2019-08-13 |
| 1639739915 | Julie Nicole Rome | Nurse Practitioner | 345 N Main St Ste 112, West Hartford, CT 06117-2508 | 2019-06-18 |
| 1023533353 | Marina Creed | Nurse Practitioner | 87 Outlook Avenue, West Hartford, CT 06119-2214 | 2017-08-08 |
| 1518016799 | Judith Lynn Briggs | Nurse Practitioner | 29 Troy St, West Hartford, CT 06119-1757 | 2007-01-09 |
| 1952325813 | Kristine Sterling | Nurse Practitioner | 1030 New Britain Ave, West Hartford, CT 06110-2261 | 2006-07-26 |
| 1285269431 | Shauna Rafferty | Nurse Practitioner | 836 Farmington Ave Ste 207, West Hartford, CT 06119-1544 | 2020-03-09 |
| 1174166987 | Elizabeth Pelletier | Nurse Practitioner | 1030 Boulevard, West Hartford, CT 06119-1801 | 2019-10-24 |
| 1821641671 | Kaitlin Noelle Erickson | Nurse Practitioner | 345 N Main St Ste 112, West Hartford, CT 06117-2508 | 2019-07-22 |
| 1538729702 | Naomi Mara Sydney | Nurse Practitioner | 1030 Boulevard, West Hartford, CT 06119-1801 | 2019-06-19 |
| 1821557026 | Stephanie Lamothe | Nurse Practitioner | 1001 Farmington Ave, West Hartford, CT 06107-2135 | 2019-03-18 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06110 |
Please comment or provide details below to improve the information on VIKTORIYA ANATOLIEVNA STORK.
| 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.