JENNIFER ELIZABETH OUELLETTE (NPI# 1912296419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912296419 |
| Entity Type | Individual |
| Full Name | JENNIFER ELIZABETH OUELLETTE |
| Other Name | JENNIFER ELIZABETH ELMORE |
| Credential | APRN |
| Practice Address |
170 Grandview Ave Waterbury CT 06708-2525 |
| Practice Telephone | 2037593666 |
| Practice Fax Number | 2037593671 |
| Mailing Telephone | 2037593666 |
| Mailing Fax Number | 2037593671 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2015-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4621 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
004621 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008031012 | 05 | |
| CT | 004235976 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003821869 | Jennifer R Ouellette | Nurse Practitioner | Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908 | 2006-07-30 |
| 1770137358 | Jennifer A R Ouellette | Social Worker | 100 Campus Ave Ste A&b, Lewiston, ME 04240-6040 | 2019-07-31 |
| 1700182524 | Jennifer Lynn Ouellette | Case Manager/Care Coordinator | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2011-01-27 |
| 1467754408 | Jennifer Ouellette | Case Manager/Care Coordinator | 147 Shaker Hill Rd, Alfred, ME 04002-3253 | 2010-11-24 |
| Street Address |
170 GRANDVIEW AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710904404 | Ann Lorraine Hume | Internal Medicine | 170 Grandview Ave, Waterbury, CT 06708-2525 | 2006-07-17 |
| 1487033858 | Michelle Marie King | Registered Nurse | 170 Grandview Ave, Waterbury, CT 06708-2525 | 2015-05-19 |
| 1669767059 | Jameel Uddeen | Internal Medicine | 170 Grandview Ave, Waterbury, CT 06708-2525 | 2011-06-14 |
| 1386951747 | Vanessa Yap | Internal Medicine | 170 Grandview Ave, Waterbury, CT 06708-2525 | 2010-09-08 |
| 1508182965 | Sheila Jane Tan Zanoria | Internal Medicine | 170 Grandview Ave, Waterbury, CT 06708 | 2010-04-09 |
| 1053599902 | Ferdinando Urbano | Internal Medicine | 170 Grandview Ave, Waterbury, CT 06708 | 2008-02-02 |
| 1669501532 | Waterbury Pulmonary Associates | Internal Medicine | 170 Grandview Ave, Waterbury, CT 06708-2513 | 2007-03-05 |
| 1548336258 | Carolyn Ann Roderick | Physician Assistant | 170 Grandview Ave, Waterbury, CT 06708-2525 | 2006-11-27 |
| 1770695140 | Sandra J Dock | Physician Assistant | 170 Grandview Ave, Waterbury, CT 06708-2525 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316559248 | Agape Family Medical Center LLC | Nurse Practitioner | 1078 W Main St Ste 3, Waterbury, CT 06708-2651 | 2020-08-21 |
| 1508375080 | Christina Audet Solomito | Nurse Practitioner | 133 Scovill St Ste 306, Waterbury, CT 06706-1127 | 2017-09-27 |
| 1558886671 | Macaela Cirish | Nurse Practitioner | 3801 East Main Street, Second Floor, Waterbury, CT 06705 | 2017-08-09 |
| 1609323070 | Laila Jones | Nurse Practitioner | 170 Grandview Ave Ste 1, Waterbury, CT 06708-2577 | 2016-09-02 |
| 1124484357 | Melanie M.f. Nesprido | Nurse Practitioner | 60 Westwood Ave Ste 100, Waterbury, CT 06708-2460 | 2016-01-04 |
| 1447651690 | Matthew L Balanda | Nurse Practitioner | 1389 W Main St Ste 205, Waterbury, CT 06708-3115 | 2014-09-08 |
| 1831523638 | Eileen Anne Knox | Nurse Practitioner | 1253 W Main St, Waterbury, CT 06702-1418 | 2013-08-28 |
| 1033414867 | Steven Paul Jeske | Nurse Practitioner | 276 Highland Ave Ste A2, Waterbury, CT 06708 | 2011-01-26 |
| 1982853263 | Leah Lucarelli | Nurse Practitioner | 80 Phoenix Ave Ste 101, Waterbury, CT 06702-1418 | 2008-09-11 |
| 1891836110 | Michelle Lynn Kennedy | Nurse Practitioner | 51 N Elm St, Waterbury, CT 06702-1511 | 2007-02-09 |
| Find all providers in WATERBURY | ||||
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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.