MS. EILEEN JOY ODONNELL (NPI# 1063412542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063412542 |
| Entity Type | Individual |
| Full Name | MS. EILEEN JOY ODONNELL |
| Credential | RN, APRN |
| Practice Address |
345 Montauk Ave New London CT 06320-4738 |
| Mailing Address |
146 Ironworks Rd Clinton CT 06413-1223 |
| Practice Telephone | 8604446711 |
| Practice Fax Number | 8604370650 |
| Mailing Telephone | 8606640466 |
| Mailing Fax Number | 8606693351 |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
000368 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONNECTICARE | 368000 | 01 |
| CT | HEALTH NET | 2V5541 | 01 |
| CT | BLUE CROSS BLUE SHIELD | 400000368CT04 | 01 |
| Street Address |
345 MONTAUK AVE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477766202 | Timothy M Barczak Md LLC | Nurse Practitioner | 345 Montauk Ave, New London, CT 06320-4738 | 2007-05-08 |
| 1427032200 | Timothy M Barczak | Obstetrics & Gynecology | 345 Montauk Ave, New London, CT 06320-4738 | 2005-12-05 |
| 1447244504 | Amy G Martin | Nurse Practitioner | 345 Montauk Ave, New London, CT 06320-4738 | 2005-09-06 |
| 1407840655 | Patricia P Martini | Obstetrics & Gynecology | 345 Montauk Ave, New London, CT 06320-4738 | 2005-09-02 |
| 1275525156 | Jeffrey A Simpson | Obstetrics & Gynecology | 345 Montauk Ave, New London, CT 06320-4738 | 2005-08-17 |
| 1699767509 | Jeffrey A Simpson Md LLC | Obstetrics & Gynecology | 345 Montauk Ave, New London, CT 06320-4738 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760502397 | Kristen Maria Stehle | Nurse Practitioner | 4 Shaws Cv Ste 105, New London, CT 06320-4956 | 2007-03-29 |
| 1205032133 | Monica J. Hanson | Nurse Practitioner | 365 Montauk Ave, New London, CT 06320-4700 | 2007-06-26 |
| 1841238375 | Nancy C Hess | Nurse Practitioner | 425 Montauk Ave, New London, CT 06320-4642 | 2006-06-04 |
| 1447244504 | Amy G Martin | Nurse Practitioner | 345 Montauk Ave, New London, CT 06320-4738 | 2005-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417414905 | Jessica Kiback | Nurse Practitioner | 100 Retreat Ave Ste 201, Hartford, CT 06106-2528 | 2019-02-21 |
| 1952833394 | Kulwinder Nicole Bajwa | Nurse Practitioner | 1075 Asylum Ave Fl 1, Hartford, CT 06105-2455 | 2017-04-03 |
| 1073977591 | Megan Monteiro | Nurse Practitioner | 120 Park Lane Rd # 202, New Milford, CT 06776-2444 | 2016-04-11 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1578962528 | Chloe Quinn | Nurse Practitioner | 1030 New Britain Avenue, West Hartford, CT 06110-2261 | 2014-08-15 |
| 1578985032 | Cynthia A. Ely I | Nurse Practitioner | 30 Deepwood Rd, Wilton, CT 06897-4201 | 2014-01-16 |
| 1578775953 | Lorna Cassidy Aliperti | Nurse Practitioner | 236 Stamford Ave, Stamford, CT 06902-8233 | 2007-05-05 |
| 1164446878 | Patricia A Labowsky | Nurse Practitioner | 415 Howe Ave, Shelton, CT 06484-3166 | 2006-07-26 |
| 1164458386 | Shawn Polizzi | Nurse Practitioner | 1090 Main St, Branford, CT 06405-3716 | 2006-06-23 |
| 1710943444 | Janet Marie Fischer | Nurse Practitioner | 105 West Rd, Ellington, CT 06029-5700 | 2006-04-21 |
| Find all providers with the same taxonomy | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
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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.