JILLIAN MARIE REID (NPI# 1124543632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124543632 |
| Entity Type | Individual |
| Full Name | JILLIAN MARIE REID |
| Credential | DNP, APRN |
| Practice Address |
240 Indian River Rd Orange CT 06477-3649 |
| Practice Telephone | 2034973861 |
| Mailing Telephone | 2034143625 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2020-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 7139 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
7139 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
7139 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
7139 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1952 Whitney Ave, Hamden, CT 065171209 | 2032877500 |
| Street Address |
240 INDIAN RIVER RD |
| City | ORANGE |
| State | CT |
| Zip Code | 06477-3649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083600381 | Jeffrey Reynolds | Internal Medicine | 240 Indian River Rd, Suite A5, Orange, CT 06477-3649 | 2005-09-22 |
| 1578190369 | Patrick Risko | Hearing Instrument Specialist | 240 Indian River Rd, Orange, CT 06477-3649 | 2020-03-24 |
| 1922648641 | Julia Ellen Muldoon | Nurse Practitioner | 240 Indian River Rd, Orange, CT 06477-3649 | 2020-01-10 |
| 1457998502 | Ifeyinwa Leonard | Nurse Practitioner | 240 Indian River Rd, Orange, CT 06477-3649 | 2019-12-09 |
| 1679070387 | Murielle Exantus | Nurse Practitioner | 240 Indian River Rd, Orange, CT 06477-3649 | 2018-04-09 |
| 1588022461 | Katherine Sullivan | Physical Therapist | 240 Indian River Rd, Suite A8, Orange, CT 06477-3649 | 2016-02-05 |
| 1083022339 | Weverton Depaula | Technician/Technologist | 240 Indian River Rd, C-3, Orange, CT 06477-3649 | 2014-07-31 |
| 1023426285 | Dr. Rocio Alicea O.d., LLC | Optometrist | 240 Indian River Rd, C-3, Orange, CT 06477-3649 | 2014-07-31 |
| 1548670094 | Veo Vision Center, LLC | Technician/Technologist | 240 Indian River Rd, C-3, Orange, CT 06477-3649 | 2014-05-06 |
| 1982035796 | Patricia Borrelli | Nurse Practitioner | 240 Indian River Rd, Suite A5, Orange, CT 06477-3649 | 2013-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207207 | Kevin Cheung | Registered Nurse | 499 West Campus Drive, Orange, CT 06477 | 2020-08-25 |
| 1629539051 | Leah Kragh | Occupational Therapist | 308 Racebrook Road, Unit A, Orange, CT 06477 | 2019-03-28 |
| 1871076315 | Mario Paredes | Physical Therapist | 240 Indian River Rd Ste B7b8, Orange, CT 06477 | 2018-09-11 |
| 1790201499 | Amy Elise Roth | Speech-Language Pathologist | 308 Racebrook Road, Orange, CT 06477 | 2017-08-15 |
| 1720435092 | Eric Han | Obstetrics & Gynecology | 100 West Campus Drive, Orange, CT 06477 | 2016-05-17 |
| 1467838730 | Dr. Margaret Azzarella LLC | Chiropractor | 472 Boston Post Road, Orange, CT 06477 | 2015-08-10 |
| 1790114866 | The Eye Care Group | Eyewear Supplier (Equipment, not the service) | 250 Indian River Road, Orange, CT 06477 | 2013-11-08 |
| 1609111814 | Michael L Crane | Counselor | 426 Taulman Rd, Orange, CT 06477 | 2012-11-29 |
| 1316183726 | Sarah E Halloran | Physician Assistant | 240 Indian River Rd Ste B1, Orange, CT 06477 | 2009-01-07 |
| 1558482075 | Jasdeep Sidana | Internal Medicine | 521 Boston Post Road, Orange, CT 06477 | 2007-04-02 |
| Find all providers in zip 06477 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952816399 | Tonya Mechele Holman | Nurse Practitioner | 2324 Maxwell Cir, Orange, TX 77630-2219 | 2017-12-07 |
| 1114476546 | Christopher Defrancesco | Nurse Practitioner | 325 Boston Post Rd Ste 2f, Orange, CT 06477-3504 | 2016-09-27 |
| 1871948133 | Maria Anasis | Nurse Practitioner | 3432 E White Chapel Ct, Unit A, Orange, CA 92869-7518 | 2016-04-24 |
| 1831366087 | Tara Breaux | Nurse Practitioner | 610 Strickland Dr Ste 270, Orange, TX 77630-4788 | 2008-05-15 |
| 1053440826 | Kristin Marie Theetge | Nurse Practitioner | 1010 W La Veta Ave Ste 610, Orange, CA 92868-4306 | 2007-03-05 |
| 1679503916 | Brandy Nicole Rizzato | Nurse Practitioner | 610 Strickland Dr Ste 320, Orange, TX 77630-4788 | 2006-07-03 |
| 1679070387 | Murielle Exantus | Nurse Practitioner | 240 Indian River Rd, Orange, CT 06477-3649 | 2018-04-09 |
| 1831605641 | Segismundo Senense Millan Iv | Nurse Practitioner | 2041 W Orangewood Ave, Orange, CA 92868-1944 | 2017-12-17 |
| 1073971701 | Lsmrbt, Pllc | Nurse Practitioner | 610 Strickland Dr, Suite 380, Orange, TX 77630-4786 | 2016-02-09 |
| 1225496086 | Jane Brugman | Nurse Practitioner | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2016-02-08 |
| Find all providers in ORANGE | ||||
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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.