AMI S MARSHALL (NPI# 1154331015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154331015 |
| Entity Type | Individual |
| Full Name | AMI S MARSHALL |
| Credential | APRN |
| Practice Address |
Yale Community Health Care Clinic 270 Congress Ave New Haven CT 06519-1403 |
| Mailing Address |
469 Migeon Ave Community Health & Wellness Center of Greater Torr. Torrington CT 06790-4643 |
| Practice Telephone | 2037649959 |
| Mailing Telephone | 8604890931 |
| Mailing Fax Number | 8604893325 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2018-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
003111 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
003111 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004247872 | 05 | |
| MEDICARE | 071834 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 469 Migeon Ave, Community Health & Wellness Center of Greater Torr., Torrington, CT 067904643 | 8604890931 | 8604893325 |
| Street Address |
YALE COMMUNITY HEALTH CARE CLINIC 270 CONGRESS AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326546839 | Kristin Holly Van Horn | Nurse Practitioner | Winchester Chest Clinic, 789 Howard St, New Haven, CT 06510 | 2018-01-30 |
| 1205086915 | Christiane Brigitte Sabourin | Nurse Practitioner | 20 York Cb-2041, Ynh Medical Services PC, New Haven, CT 06504 | 2008-09-30 |
| 1043495989 | Michelle Bolles Vitale | Nurse Practitioner | 1 Howe St, New Haven, CT 06511-5473 | 2008-01-09 |
| 1497393151 | Teresa Huschart White | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2019-12-12 |
| 1336792225 | Sadie Kathleen Hartell | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2019-07-19 |
| 1457830309 | Shannon Maria Sweeney | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2018-08-11 |
| 1336650001 | Christine Moore | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510 | 2017-10-20 |
| 1366994956 | Mandy Demerchant | Nurse Practitioner | 55 Park St, New Haven, CT 06511-5474 | 2016-10-29 |
| 1730545187 | Colleen Chime Karkhang | Nurse Practitioner | 20 York St, New Haven, CT 06510 | 2016-01-14 |
| 1841664802 | Joynell Mirasol | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2015-11-13 |
| Find all providers in NEW HAVEN | ||||
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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.