KEMMARIE BEAL, NP, LLC (NPI# 1083199764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083199764 |
Entity Type | Organization |
Organization Name | KEMMARIE BEAL, NP, LLC |
Other Organization Name | BETTER TOMORROW BEHAVIORAL HEALTHCARE |
Practice Address |
3580 Main St Hartford CT 06120-1121 |
Mailing Address |
Po Box 1001 Windsor CT 06095-6101 |
Practice Telephone | 8607760187 |
Mailing Telephone | 8607760187 |
Enumeration Date | 2018-09-28 |
Last Update Date | 2019-02-16 |
Authorized Official Name | KEMMARIE BEAL (OWNER) |
Authorized Official Telephone | 8609660141 |
Authorized Official Credential | NP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 1083199764 | 05 |
Other Name | Type Code |
---|---|
Better Tomorrow Behavioral Health Care | Doing Business As Name - Organization |
Better Tomorrow Behavioral Healthcare | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
3580 Main St, Bldg 2 Suite G, Hartford, CT 061201121 | 8607760187 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | KEMMARIE BEAL, NP, LLC | 3580 Main St, Hartford, CT 06120 |
Street Address |
3580 MAIN ST |
City | HARTFORD |
State | CT |
Zip Code | 06120-1121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942207725 | Terrence Frederic Oder | Internal Medicine | 3580 Main St, Hartford, CT 06120-1121 | 2005-07-07 |
1467911743 | Ayanna Henry | Counselor | 3580 Main St, Hartford, CT 06120-1121 | 2019-03-17 |
1639625098 | Liama Holmes | Social Worker | 3580 Main St, #6, Hartford, CT 06120-1121 | 2016-08-26 |
1760827422 | Journey To Healing Clinical Services | Social Worker | 3580 Main St, Lower Level, Hartford, CT 06120-1121 | 2013-05-07 |
1639188386 | Bio-medical Applications of Connecticut, Inc. | Clinic/Center | 3580 Main St, Hartford, CT 06120-1121 | 2006-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245664770 | Amy Rodriguez | Social Worker | 2550 Main Street, Hartford, CT 06120 | 2013-09-03 |
1144578741 | Community Substance Abuse Center | Case Management | 55 Fish Fry Street, Hartford, CT 06120 | 2012-08-29 |
1225394190 | Edward Billie | Case Management | 27 East St, Apt 2, Hartford, CT 06120 | 2012-04-05 |
1497065163 | Sharron Lee Laplante | General Practice | 177 Weston Street, Hartford, CT 06120 | 2010-10-15 |
1417135195 | Ling Li | Nurse Practitioner | 3580 Main Street, Hartford, CT 06120 | 2008-02-05 |
1750592564 | Avon Medical Pharmacy | Durable Medical Equipment & Medical Supplies | Arrow Prescription Center 11, 500 Albany Avenue, Hartford, CT 06120 | 2007-05-24 |
1609942416 | Gene David Kirschenbaum | Obstetrics & Gynecology | 360 Market Street, Hartford, CT 06120 | 2006-11-27 |
1740361179 | Pamela Bond Ponichtera | Nurse Practitioner | 500 Albany Avenue, Pediatric Clinic, Hartford, CT 06120 | 2006-10-19 |
1841301876 | Community Renewal Team, Inc. | Clinic/Center | 330 Market Street, Hartford, CT 06120 | 2006-08-31 |
1548803844 | Courtney Anne Barnes | Social Worker | 330 Market St, Hartford, CT 06120 | 2019-10-20 |
Find all providers in zip 06120 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396352589 | Jeffrey Kiser | Nurse Practitioner | 123 Sisson Ave Fl 3, Hartford, CT 06106-1136 | 2020-09-30 |
1134686777 | Familycareofhartford Corp | Nurse Practitioner | 556 Zion St, Hartford, CT 06106-2348 | 2019-03-01 |
1649788035 | Brian Keith Talbert | Nurse Practitioner | 238 Moore St, Hartford, WV 25247-1823 | 2018-01-19 |
1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
1881140713 | Allison Forehand Locke | Nurse Practitioner | 169 N 2nd Ave, Hartford, AL 36344-1219 | 2016-08-31 |
1649641150 | Fredo J Clermont | Nurse Practitioner | 114 Woodland St Fl 7, Hartford, CT 06105 | 2015-10-09 |
1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
1497173462 | Nydia Gonzalez | Nurse Practitioner | 470 Maple Ave, Hartford, CT 06114-1215 | 2014-04-06 |
1518383728 | Anna L Waldner | Nurse Practitioner | 402 Emma Dr, Hartford, SD 57033-2061 | 2014-03-12 |
1982020350 | Tracey Marie Allen | Nurse Practitioner | 282 Washington St Ste D, Hartford, CT 06106-3322 | 2014-03-10 |
Find all providers in HARTFORD |
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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.