MS. LAUREL M REAGAN (NPI# 1942378930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942378930 |
| Entity Type | Individual |
| Full Name | MS. LAUREL M REAGAN |
| Credential | APRN |
| Practice Address |
500 Vine Street Capitol Region Mental Health Center Hartford CT 06112 |
| Mailing Address |
500 Vine Street Human Resources Hartford CT 06112 |
| Practice Telephone | 8602970905 |
| Practice Fax Number | 8602970914 |
| Mailing Telephone | 8602970905 |
| Mailing Fax Number | 8602970914 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | APRN000459 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245600469 | Laurel Reagan | Massage Therapist | 3400 W Clearwater Ave Ste 5, Kennewick, WA 99336-2709 | 2015-09-30 |
| Street Address |
500 VINE STREET CAPITOL REGION MENTAL HEALTH CENTER |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487689022 | State of Connecticut | Clinic/Center | 500 Vine Street, Hartford, CT 06112 | 2006-07-12 |
| 1285039628 | Margarita Gonzalez | Social Worker | 500 Vine Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2014-10-28 |
| 1609200823 | Roina Kidd-beason | Social Worker | 500 Vine Street, Capital Region Mental Health Center, Hartford, CT 06112 | 2013-08-23 |
| 1144662156 | Susan Joan Meunier | Nurse Practitioner | 500 Vine Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2013-07-19 |
| 1942649033 | Capitol Region Mental Health Center | Psychiatric Hospital | 500 Vine Street, Capitol Region Mental Health Center Pharmacy, Hartford, CT 06112 | 2013-06-21 |
| 1114363264 | Patricia D Fredette | Social Worker | 500 Vine Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2013-05-16 |
| 1588917132 | Liane A Flynn | Social Worker | 500 Vine Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2012-10-19 |
| 1609143023 | Haydee Emperatriz Ciudad-mercado | Social Worker | 500 Vine Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2011-11-30 |
| 1760764005 | Ivette M. Suarez-bonilla | Social Worker | 500 Vine Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2011-09-13 |
| 1730394198 | Valerie R. Martin | Social Worker | 500 Vine Street, Capitol Region Mental Health Center, Hartford, CT 06112-2232 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
| 1366858359 | Krysten N Marotta | Pharmacist | 1290 Albany Ave, Hartford, CT 06112 | 2014-07-10 |
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| Find all providers in zip 06112 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801969217 | Alice Brucker Sadow | Clinical Nurse Specialist | 500 Vine Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2006-11-15 |
| 1609886894 | G. Todd Mcdonald | Clinical Nurse Specialist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407231780 | Anna Gut Aprn LLC | Clinical Nurse Specialist | 770 Saybrook Road Building B, Building A Second Floor, Middletown, CT 06457-4785 | 2015-07-28 |
| 1093151748 | Debra Norinia Wingate-jenkins | Clinical Nurse Specialist | 35 Fawn Ridge Dr, Hamden, CT 06514-4204 | 2013-05-21 |
| 1760544985 | Judith K Molloy | Clinical Nurse Specialist | 141 Newgate Rd, Oxford, CT 06478-1534 | 2006-12-14 |
| 1205917655 | Lynn B Rakos | Clinical Nurse Specialist | Southwest Ct Mental Health System Attn Sandra Grazynski, 1635 Central Avenue, Bridgeport, CT 06610 | 2006-10-18 |
| 1164490587 | Barbara Ann Pascal-gladstone | Clinical Nurse Specialist | 71 Haynes Street, Manchester, CT 06040 | 2006-03-10 |
| 1306495858 | Raymond Robert Desrochers Jr. | Clinical Nurse Specialist | 56 Franklin St, Waterbury, CT 06706-1253 | 2019-09-07 |
| 1013483445 | Marian Lois Villaflor | Clinical Nurse Specialist | 20 Wilson St, Fairfield, CT 06825-1419 | 2018-10-24 |
| 1487107421 | Andree De Lisser | Clinical Nurse Specialist | 24 Hospital Ave, Danbury Hospital Psychiatry, Danbury, CT 06810 | 2016-07-26 |
| 1346608692 | Mary Catherine Lavery | Clinical Nurse Specialist | 628 Hebron Ave, Glastonbury, CT 06033 | 2016-02-02 |
| 1114286929 | Victoria Ann Ramik | Clinical Nurse Specialist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2012-05-14 |
| Find all providers with the same taxonomy | ||||
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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.