JEREMY TYLER ROCKWELL


Address: 320 Pomfret St, Putnam, CT 06260-1836
Phone: 8609636385

JEREMY TYLER ROCKWELL (NPI# 1952942310) 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) 1952942310
Entity Type Individual
Full Name JEREMY TYLER ROCKWELL
Credential APRN
Practice Address 320 Pomfret St
Putnam
CT 06260-1836
Practice Telephone 8609636385
Practice Fax Number 8609636393
Mailing Telephone 8609636385
Mailing Fax Number 8609636393
Enumeration Date 2019-10-07
Last Update Date 2020-06-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
165179 CT Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
8532 CT Physician Assistants & Advanced Practice Nursing Providers
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
1-151908 AL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3504 Vann Rd # 100, Birmingham, AL 352353221 2056550585 2056550586

Office Location

Street Address 320 POMFRET ST
City PUTNAM
State CT
Zip Code 06260-1836

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417940271 Marc B Cerrone Pediatrics 320 Pomfret St, Dkh Pediatric Center, Putnam, CT 06260-1836 2005-08-26
1265065551 Vanmaly P. Sangasy Nurse Practitioner 320 Pomfret St, Putnam, CT 06260-1836 2020-02-15
1215588355 Caitlyn Allyssa Sward Dietitian, Registered 320 Pomfret St, Putnam, CT 06260-1836 2019-09-20
1164082301 Julie Van Saun Physician Assistant 320 Pomfret St, Putnam, CT 06260-1836 2019-06-19
1487127171 Hartford Orthopedic Surgeons,pc Durable Medical Equipment & Medical Supplies 320 Pomfret St, Putnam, CT 06260-1836 2019-01-07
1518434422 Betsy Alvarado Physician Assistant 320 Pomfret St, Putnam, CT 06260-1836 2018-10-29
1831601848 Robyn A Martin Obstetrics & Gynecology 320 Pomfret St, Putnam, CT 06260-1836 2017-10-31
1922529098 Raphaella Daggett Nurse Practitioner 320 Pomfret St, Putnam, CT 06260-1836 2017-06-29
1770010399 Gurkirat Singh Sandhu Internal Medicine 320 Pomfret St, Putnam, CT 06260-1836 2017-05-13
1801349931 Ana Mafalda Andrade Tudela Martins Pediatrics 320 Pomfret St, Putnam, CT 06260-1836 2016-07-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043838139 Shayna Marie Robinson Behavior Technician 62 Providence Pike Suite E, Putnam, CT 06260 2020-07-06
1649896390 Bethany Barrette Behavior Technician 682 Providence Pike Suite E, Putnam, CT 06260 2020-06-18
1902450448 Jillian Bellman Registered Nurse 391 Pomfret Street, Putnam, CT 06260 2019-08-01
1285297390 Jourhana Colon Behavior Technician 62 Providence Pike Ste E, Putnam, CT 06260 2019-04-16
1457839417 Amplisound, Inc. Hearing Instrument Specialist 19 Quinebaug Avenue, Putnam, CT 06260 2018-08-01
1184095960 Lori Bergeron Counselor 391 Pomret Street, Putnam, CT 06260 2015-10-19
1558619957 Merinessa Macayaon Quintilla Physical Therapist 10 Thurber Road, Genesis - Matulaitis Nursing Home, Putnam, CT 06260 2012-08-16
1235496936 Mohsin Haseeb Internal Medicine Day Kimball Hospital, 320 Pomfret Street, Putnam, CT 06260 2012-04-18
1588932529 Lifehouse Community Care, LLC Home Health 554 Liberty Highway Unit 2, Putnam, CT 06260 2011-12-05
1942433032 Connecticut Cvs Pharmacy, LLC Durable Medical Equipment & Medical Supplies 57 Providence Pike, Putnam, CT 06260 2009-08-24
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891208039 Willa M Thompson Nurse Practitioner 202 Pomfret St, Putnam, CT 06260-1833 2017-11-09
1093765232 Kimberly J Lane Nurse Practitioner 320 Pomfret St, Putnam, CT 06260-1836 2006-05-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578164935 Sheneese Denelle Charles Nurse Practitioner 22 Victoria Rd, New Britain, CT 06052-1536 2020-11-03
1396345179 Kate Hanselman Nurse Practitioner 224 Saint John St # 3l, New Haven, CT 06511-4917 2020-10-29
1518565399 Gina Kolstad Nurse Practitioner 279 Quarry Rd # 2, Glastonbury, CT 06033-3406 2020-10-13
1043818966 Shakeria C Brown Nurse Practitioner 567 Millville Ave Apt 3-10, Naugatuck, CT 06770-2337 2020-10-13
1154937910 Gregory Guion Nurse Practitioner 2275 Silas Deane Highway, 2nd Floor, Rocky Hill, CT 06067-2343 2020-09-17
1003425331 Ryan Keenan Nurse Practitioner 34 Seaview Ave, West Haven, CT 06516-6846 2020-07-22
1649888256 Healthy Minds Pllc Nurse Practitioner 40 Russ St, Hartford, CT 06106-1520 2020-07-20
1174131205 Kimberly Levitt Nurse Practitioner 466 Ridgebury Rd, Ridgefield, CT 06877-1228 2020-07-15
1801414602 Georgina Twumasi Mental Health LLC Nurse Practitioner 29 Wildwood Cir, South Windsor, CT 06074-1700 2020-07-08
1356978688 Rachel Feit Nurse Practitioner 63 Pine Tree Dr, Stamford, CT 06906-1529 2020-03-25
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Competitor

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City PUTNAM
Zip Code 06260

Improve Information

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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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