MRS. DOMANICE POINDEXTER (NPI# 1912358375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912358375 |
Entity Type | Individual |
Full Name | MRS. DOMANICE POINDEXTER |
Credential | ACNPC-AG |
Practice Address |
Caremore Health 444 Foxon Rd East Haven CT 06513 |
Mailing Address |
12900 Park Plaza Dr Ste 150 Cerritos CA 90703-9329 |
Practice Telephone | 2035335911 |
Practice Fax Number | 4752386372 |
Mailing Telephone | 2033255700 |
Enumeration Date | 2016-06-28 |
Last Update Date | 2019-02-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 6640 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
12.006640 | CT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | DEA | MP3969752 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
999 Summer St, Ste 304, Stamford, CT 069055546 | 2033255700 |
Street Address |
CAREMORE HEALTH 444 FOXON RD |
City | EAST HAVEN |
State | CT |
Zip Code | 06513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366906141 | Edward Rivera | Case Manager/Care Coordinator | 458 Grand Ave., Suite 103, New Haven, CT 06513 | 2019-01-25 |
1134698442 | Village of Angels Home Health Care LLC | Respite Care | 470 James Street, Suite 007, New Haven, CT 06513 | 2018-11-15 |
1609358068 | Sarah Khalil | Pharmacist | 745 Foxon Road, East Haven, CT 06513 | 2018-09-02 |
1568839876 | My Fair Haven Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Grand Ave, New Haven, CT 06513 | 2015-08-24 |
1871979567 | Sankofa Counseling LLC | Community/Behavioral Health | 64 Thompson St Ste A101, East Haven, CT 06513 | 2015-08-04 |
1578967287 | Curtis Stewart | Pharmacy Technician | 661 Thompson Street, East Haven, CT 06513 | 2014-10-09 |
1548686322 | Davis Group LLC | Social Worker | 30 Grand Ave, New Haven, CT 06513 | 2014-03-17 |
1124459615 | James Lucas IIi | Dietitian, Registered | 167 Old Foxon Road, Unit 30b, New Haven, CT 06513 | 2013-12-09 |
1609206135 | Spretha Kadavath | Dentist | 50 Grand Ave, New Haven, CT 06513 | 2013-11-19 |
1992134878 | Joon Lee | Occupational Therapist | 918 Quinnipiac Ave #2, New Haven, CT 06513 | 2013-11-01 |
Find all providers in zip 06513 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760004469 | Joseph A Sarkis | Nurse Practitioner | 34 Blackwells Lndg, Brooklyn, CT 06234-2444 | 2020-05-15 |
1720543960 | Lia Sgambato | Nurse Practitioner | 263 Farmington Ave # 2875, Farmington, CT 06030-0001 | 2019-02-01 |
1588136295 | Tao Wang | Nurse Practitioner | 38 Michele Dr, Portland, CT 06480-1013 | 2018-12-19 |
1114417847 | Jennifer Lynn Trocola | Nurse Practitioner | 63 Myano Ln Apt 6, Stamford, CT 06902-4500 | 2018-05-17 |
1386178093 | Janine Brooks | Nurse Practitioner | 47 Elmridge Rd, Pawcatuck, CT 06379-1234 | 2017-04-19 |
1639622962 | Joshua N Alderman | Nurse Practitioner | 353 Main St Ste 2, Manchester, CT 06040-4145 | 2016-08-03 |
1508224437 | Sheldon Leigh Stock | Nurse Practitioner | 701 Cottage Grove Rd Ste B220, Bloomfield, CT 06002-3077 | 2016-02-06 |
1548636673 | Cheryl Pappas | Nurse Practitioner | 111 Salem Tpke Ste 8, Norwich, CT 06360-7403 | 2015-08-12 |
1265780894 | Annetta Ruth Troche | Nurse Practitioner | 22 Parkwood Drive, Windsor, CT 06095 | 2012-08-29 |
1609122787 | Jaimme Lee Franson | Nurse Practitioner | 324 Elm St Suite 202b, Monroe, CT 06468 | 2012-07-26 |
Find all providers with the same taxonomy |
City | EAST HAVEN |
Zip Code | 06513 |
Please comment or provide details below to improve the information on MRS. DOMANICE POINDEXTER.
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.