MS. MARY ELLEN PAGNOZZI (NPI# 1114943214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114943214 |
| Entity Type | Individual |
| Full Name | MS. MARY ELLEN PAGNOZZI |
| Credential | A.P.R.N. |
| Practice Address |
3 Heron Rd Mystic CT 06355-3253 |
| Practice Telephone | 8605366442 |
| Practice Fax Number | 8605366442 |
| Mailing Telephone | 8605366442 |
| Mailing Fax Number | 8605366442 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2015-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
001588 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
001588 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004203329 | 05 |
| Street Address |
3 HERON RD |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355-3253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182353 | Cheryl A Walker | Nurse Practitioner | 3 Heron Rd, Mystic, CT 06355-3253 | 2005-05-27 |
| 1245616705 | Karen Janet Terwilliger | Nurse Practitioner | 3 Heron Rd, Mystic, CT 06355-3253 | 2015-08-07 |
| 1679628820 | Michael J. Feltes, Dba Sound Seniors Geriatrics, Md | Internal Medicine | 3 Heron Rd, Mystic, CT 06355-3253 | 2007-01-25 |
| 1588719736 | Michael J. Feltes,dba Sound Seniors Geriatrics, Aprn | Nurse Practitioner | 3 Heron Rd, Mystic, CT 06355-3253 | 2007-01-25 |
| 1336167238 | Mystic Geriatrics, LLC | Nurse Practitioner | 3 Heron Rd, Mystic, CT 06355-3253 | 2006-07-18 |
| 1689690216 | Michael J Feltes | Family Medicine | 3 Heron Rd, Mystic, CT 06355-3253 | 2006-07-15 |
| 1124026869 | Harold E Phillips Jr. | Family Medicine | 3 Heron Rd, Mystic, CT 06355-3253 | 2005-07-07 |
| 1457357618 | Judy D Mamaclay | Internal Medicine | 3 Heron Rd, Mystic, CT 06355-3253 | 2005-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770076069 | Brian Kristofer Owczarski | Physical Therapist | 80 Stonington Rd Ste A-3, Mystic, CT 06355 | 2018-06-11 |
| 1922554120 | Kayla Nickerson Gauthier | Marriage & Family Therapist | 41 Williams Ave, Mystic, CT 06355 | 2016-08-28 |
| 1417351156 | Lisa Pacifico | Physical Therapist | 44 Maritime Dive, Mystic, CT 06355 | 2014-10-09 |
| 1619386539 | Jennifer Rock | Occupational Therapist | 44 Maritime Drive, Pendleton Health and Rehab Center, Mystic, CT 06355 | 2014-08-05 |
| 1346565843 | Karen Lucille Hanscom | Psychologist | 47 Water St. #203, Mystic, CT 06355 | 2010-03-29 |
| 1346415627 | Eldon Richard Kilpatrick | Physical Therapy Assistant | 186 Jerry Browne Rd, Mystic, CT 06355 | 2008-04-28 |
| 1760688931 | Heather Elyse Geyer | Physical Therapist | 2440 Gold Star Hwy Suite 201, Mystic, CT 06355 | 2007-06-25 |
| 1982728754 | Falck Eye Center LLC | Ophthalmology | 35 Washington Street, Mystic, CT 06355 | 2007-03-19 |
| 1881724326 | Richard Irwin Steinberg | Dentist | 117 Cow Hill Road, Mystic, CT 06355 | 2007-03-06 |
| 1992890362 | Coastal Dermatology, P.C. | Dermatology | 55 Willow Street, Mystic, CT 06355 | 2006-10-03 |
| Find all providers in zip 06355 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871689679 | Elena Schjavland | Nurse Practitioner | 20 Burrows St, Keys2memory, LLC, Mystic, CT 06355-2445 | 2006-10-05 |
| 1043567647 | Keys2memory, LLC | Nurse Practitioner | 20 Burrows St, Mystic, CT 06355-2445 | 2012-08-14 |
| 1730370669 | Jennifer L. Hardy | Nurse Practitioner | 200 Sandy Hollow Rd, Mystic, CT 06355-1744 | 2007-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997847 | Rachel Sarmento | Nurse Practitioner | 13 Sanford Dr, Shelton, CT 06484-5507 | 2020-09-23 |
| 1699399618 | Ann Monica Boisvert | Nurse Practitioner | 5 Perryridge Rd Ste 2-248, Greenwich, CT 06830-4608 | 2020-06-05 |
| 1861041121 | Huong T Nguyen | Nurse Practitioner | 400 Capital Blvd Ste 3, Rocky Hill, CT 06067-3576 | 2019-09-10 |
| 1598319980 | Daniella Gould | Nurse Practitioner | 75 Kings Highway Cutoff Ofc, Fairfield, CT 06824-5340 | 2019-07-24 |
| 1770042038 | Linda Lee Meyer | Nurse Practitioner | 320 Lakeview Ave, Waterbury, CT 06705-2145 | 2019-03-17 |
| 1942766761 | Lawrence M Anderson | Nurse Practitioner | 92 Harwood Rd, Waterbury, CT 06706-2420 | 2019-02-17 |
| 1912497751 | Catherine Rice | Nurse Practitioner | 25 Commerce Rd, Newtown, CT 06470-1607 | 2018-05-17 |
| 1407346323 | Irene D Gumboc | Nurse Practitioner | 99 Starr St, Norwich, CT 06360-4025 | 2018-05-16 |
| 1326546839 | Kristin Holly Van Horn | Nurse Practitioner | Winchester Chest Clinic, 789 Howard St, New Haven, CT 06510 | 2018-01-30 |
| 1891207411 | Michelene Wray | Nurse Practitioner | 474 Cowperthwaite St Apt C, Danbury, CT 06811-5518 | 2017-11-05 |
| Find all providers with the same taxonomy | ||||
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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.