JODI LYNN IACCARINO (NPI# 1114236411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114236411 |
| Entity Type | Individual |
| Full Name | JODI LYNN IACCARINO |
| Credential | RN |
| Practice Address |
1856 Boston Post Rd Westbrook CT 06498-2101 |
| Mailing Address |
118 Williams Dr Guilford CT 06437-1401 |
| Practice Telephone | 8603990600 |
| Practice Fax Number | 8603990600 |
| Mailing Telephone | 2034579401 |
| Mailing Fax Number | 2034579291 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0400X |
Registered Nurse Specialization: Rehabilitation |
E45850 | CT | Nursing Service Providers |
| Street Address |
1856 BOSTON POST RD |
| City | WESTBROOK |
| State | CT |
| Zip Code | 06498-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699966648 | Anthony P Ciaburri | Physical Therapist | 5 Pequot Park Road, Suite 303, Westbrook, CT 06498 | 2007-08-06 |
| 1043224579 | Thomas V Brady | Dentist | 1823 Boston Post Rd, Westbrook, CT 06498 | 2006-07-28 |
| 1194760579 | Gregory J Kundrat | Family Medicine | 4 Grove Beach Rd North, Building 1, Unit A, Westbrook, CT 06498 | 2006-06-18 |
| 1437468386 | Westbrook Youth and Family Services, Inc | Counselor | 1163 Boston Post Rd, Westbrook, CT 06498-0918 | 2010-09-27 |
| 1912295924 | Marvin Lloyd Sears | Ophthalmology | 952 Pond Meadow Rd, Westbrook, CT 06498-1429 | 2011-07-12 |
| 1689841660 | Kristina J. Lipeika | Physical Therapist | 5 Pequot Park Rd, Lakebrook Medical Center Suite 303, Westbrook, CT 06498-1467 | 2008-05-09 |
| 1700321403 | Dignity Home Health LLC | Home Health | 30 Ken Rose Ter, Westbrook, CT 06498-1487 | 2017-01-04 |
| 1568551174 | Holly Finley David | Dietitian, Registered | 44 Andre Dr, Westbrook, CT 06498-1525 | 2006-10-12 |
| 1851510929 | Mhs Primary Care, Inc. | Internal Medicine | Physician Office One, 250 Flat Rock Pl, Westbrook, CT 06498-1565 | 2007-04-25 |
| 1053385310 | David E Walker | Family Medicine | 250 Flat Rock Pl, 2nd Fl, Westbrook, CT 06498-1565 | 2006-02-14 |
| Find all providers in zip 06498 | ||||
| Taxonomy Code | 163WR0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750800280 | Marie C Menut | Registered Nurse | 966 Tolland St, East Hartford, CT 06108-1533 | 2017-09-15 |
| 1821639204 | Novlette P. Dias | Registered Nurse | 75 N Mountain Rd, New Britain, CT 06053-3468 | 2019-10-07 |
Please comment or provide details below to improve the information on JODI LYNN IACCARINO.
| 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.