MRS. MADONNA KAY FASULA (NPI# 1053626929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053626929 |
| Entity Type | Individual |
| Full Name | MRS. MADONNA KAY FASULA |
| Credential | A.P.R.N. |
| Practice Address |
100 York St Ste 2j New Haven CT 06511-5664 |
| Practice Telephone | 2037649131 |
| Practice Fax Number | 2037645963 |
| Mailing Telephone | 2037649131 |
| Mailing Fax Number | 2037645963 |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
002435 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 YORK ST STE 2J |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770582884 | Mary D Moller | Clinical Nurse Specialist | 374 Grand Ave, New Haven, CT 06513-3733 | 2005-07-20 |
| 1265589881 | Kristin Hale | Clinical Nurse Specialist | 19 Edwards St, New Haven, CT 06511-7313 | 2007-01-04 |
| 1932180718 | Bernice Gayle Mckay | Clinical Nurse Specialist | 184 Liberty St, Yale Psychiatric Institute, New Haven, CT 06519-1625 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750777827 | Janice P. Holmes | Clinical Nurse Specialist | 87 Georges Ln, Monroe, CT 06468-3138 | 2015-04-15 |
| 1336556513 | Deborah S Greene Aprn LLC | Clinical Nurse Specialist | 760 Hopmeadow St, Box 813, Simsbury, CT 06070-2223 | 2014-07-19 |
| 1396900270 | Annmarie Bernier | Clinical Nurse Specialist | 19 Nursery Dr, West Hartford, CT 06117-2737 | 2008-07-21 |
| 1003934282 | Christopher E Allen | Clinical Nurse Specialist | 71 East Avenue, Ste F, Norwalk, CT 06851-4903 | 2007-03-27 |
| 1417085465 | Mary F Scully | Clinical Nurse Specialist | 29 Shadow Ln, West Hartford, CT 06110-1641 | 2007-03-01 |
| 1609971696 | Christopher John Kochis | Clinical Nurse Specialist | 998 Farmington Ave, Suite 123, West Hartford, CT 06107-2162 | 2006-09-14 |
| 1922022359 | Susan M. James | Clinical Nurse Specialist | 147 Durham Rd, Oak Park, Madison, CT 06443-2675 | 2006-07-27 |
| 1508883588 | Donna Humeston Hoskins | Clinical Nurse Specialist | 22 Upper Main St, Sharon, CT 06069-2083 | 2006-07-16 |
| 1013956366 | Katherine M. Nichols | Clinical Nurse Specialist | 75 Swantown Hl, Stonington Institute, North Stonington, CT 06359-1022 | 2006-06-05 |
| 1811970551 | Jacquelyn A Meyer | Clinical Nurse Specialist | 71 East Ave, Suite V, Norwalk, CT 06851-4903 | 2005-11-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. MADONNA KAY FASULA.
| 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.