ANASTASIA TETERICHKO


Address: 263 Farmington Avenue, Farmington, CT 06030
Phone: 8606792100

ANASTASIA TETERICHKO (NPI# 1942734314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942734314
Entity Type Individual
Full Name ANASTASIA TETERICHKO
Practice Address 263 Farmington Avenue
Farmington
CT 06030
Practice Telephone 8606792100
Practice Fax Number 8606794815
Mailing Telephone 8606792100
Mailing Fax Number 8606794815
Enumeration Date 2017-04-12
Last Update Date 2018-07-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 305S00000X Point of Service Managed Care Organizations
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
007267 CT Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
21 Grand St, Hartford, CT 061061541 8605507500

Office Location

Street Address 263 FARMINGTON AVENUE
City FARMINGTON
State CT
Zip Code 06030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669466561 State of Connecticut Clinic/Center 263 Farmington Avenue, Farmington, CT 06030-5355 2005-09-07
1619584026 Sylvia Polanco Nurse Practitioner 263 Farmington Avenue, Farmington, CT 06030-8203 2020-09-29
1154930956 Lindsay Allison Petriello Nurse Practitioner 263 Farmington Avenue, Farmington, CT 06030 2020-07-28
1891304663 Kara Dazkevich Nurse Practitioner 263 Farmington Avenue, Farmington, CT 06030-0001 2020-07-28
1093324873 Kaitlin Jeanne O'connor Nurse Practitioner 263 Farmington Avenue, Icu, University Tower, 1st Floor, Mail Code: 1131, Farmington, CT 06030 2020-07-28
1457975070 Shriya Gupta Student in an Organized Health Care Education/Training Program 263 Farmington Avenue, Uconn Health - Outpatient Pavilion, Farmington, CT 06030-8031 2020-05-29
1114540150 Carolina Mendes Pessoa Student in an Organized Health Care Education/Training Program 263 Farmington Avenue, 2 West Uconn Clinic, Internal Medicine Associates, Ou, Farmington, CT 06032 2020-05-26
1457971293 Christopher Dalton Lemoine Student in an Organized Health Care Education/Training Program 263 Farmington Avenue, Farmington, CT 06030-8073 2020-04-22
1871112953 Cory Hewitt Student in an Organized Health Care Education/Training Program 263 Farmington Avenue, Farmington, CT 06030-4037 2020-04-09
1154940310 Jeffrey Henry Student in an Organized Health Care Education/Training Program 263 Farmington Avenue, Farmington, CT 06030-1930 2020-04-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821617606 David Wozny Student in an Organized Health Care Education/Training Program General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 2020-04-13
1508495185 Zachary Boivin Student in an Organized Health Care Education/Training Program Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 2020-04-06
1063903730 Agura Afiari Student in an Organized Health Care Education/Training Program Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 2018-05-29
1750879474 Areeba Siddiqui Student in an Organized Health Care Education/Training Program 263 Farmington Avenue Mc1921, Farmington, CT 06030 2018-04-27
1508362013 Arya Saniee I Student in an Organized Health Care Education/Training Program 264 Farmington Ave, Farmington, CT 06030 2018-04-03
1679828594 Randall Morera Student in an Organized Health Care Education/Training Program 262 Farmington Ave, Farmington, CT 06030 2012-07-17
1750644365 Ugonna Ijeoma Student in an Organized Health Care Education/Training Program 260 Farmington Ave, Farmington, CT 06030 2012-06-19
1407018419 Julia Marie Toto Plastic Surgery University Physicians, 263 Farmington Avenue, Farmington, CT 06030 2008-06-30
1851456495 Jeffrey Gross Anesthesiology 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 2006-12-26
1649225269 Julian Nieves Internal Medicine 263 Famrington Avenue, Farmington, CT 06030 2006-05-23
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649832247 Nayre Greene Kennedy Nurse Practitioner 263 Farmington Ave, Farmington, CT 06030-0001 2019-07-03
1609322007 Diane Cynthia Allen Nurse Practitioner 1001 W Broadway Ste D, Farmington, NM 87401-5638 2016-08-26
1407191034 Elaine M. Cournean Nurse Practitioner John Dempsey Hospital, 263 Farmington Avenue, Farmington, CT 06030-0001 2012-12-08
1447504766 Mary E Davison-price Nurse Practitioner 263 Farmington Ave., Farmington, CT 06030 2012-11-08
1265584130 Diana Marie Sidlik Nurse Practitioner 263 Farmington Ave, Farmington, CT 06030-0001 2007-01-18
1578574406 Karen Metersky Nurse Practitioner 263 Farmington Ave, Cancer Center, Farmington, CT 06030-2875 2006-08-09
1588696488 Jana Siman Nurse Practitioner 270 Farmington Ave, #309, Farmington, CT 06032-1909 2006-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578161170 Lisa B Stein Nurse Practitioner 861 Brooklawn Ave, Fairfield, CT 06825-1809 2020-10-15
1194322800 Constantin Razvan Popescu Nurse Practitioner 46 Summer View Dr, Monroe, CT 06468-2001 2020-10-06
1538785902 Lms Health LLC Nurse Practitioner 2001 W Main St Ste 244, Stamford, CT 06902-4544 2020-06-22
1760001010 Mobile Care Partners of Connecticut Pllc Nurse Practitioner 44 Luzi Dr Apt 960, Bantam, CT 06750-1619 2020-04-15
1740811454 Melissa Jennifer Mokel Nurse Practitioner 122 Cornerstone Dr, South Windsor, CT 06074-6303 2020-01-31
1861037533 Olga Poznyur Nurse Practitioner 19 Woodland St Ste 21, Hartford, CT 06105-2372 2019-11-16
1356996904 Virginia Tran Nurse Practitioner 39 Maple Tree Ave Unit 34, Stamford, CT 06906-2273 2019-08-09
1336705839 Rose-ann Cashema Richards Nurse Practitioner 34 Heather Ln, Manchester, CT 06040-6903 2019-05-10
1144706631 Chana Judith Hoagland Nurse Practitioner 276 Quarry Brook Drive, South Windsor, CT 06074 2018-07-17
1427549088 Kelly Elizabeth Sullivan Nurse Practitioner 428 Hartford Tpke Ste 207, Vernon, CT 06066-4841 2018-05-19
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Competitor

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City FARMINGTON
Zip Code 06030

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Dataset Information

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.

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