MS. NANCY BANACK (NPI# 1164663324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164663324 |
| Entity Type | Individual |
| Full Name | MS. NANCY BANACK |
| Credential | PT |
| Practice Address |
17 Hillhouse Ave Yale University Health Services New Haven CT 06511 |
| Practice Telephone | 2034320076 |
| Practice Fax Number | 2034327289 |
| Mailing Telephone | 2034320076 |
| Mailing Fax Number | 2034327289 |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 003250 | CT | Other Service Providers |
| Street Address |
17 HILLHOUSE AVE YALE UNIVERSITY HEALTH SERVICES |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427027689 | Kelley Anderson Esposito | Physical Therapist | 17 Hillhouse Ave, New Haven, CT 06511-8965 | 2006-03-17 |
| 1386885523 | Michael Goulet | Specialist | 17 Hillhouse Ave, New Haven, CT 06511-8965 | 2009-03-18 |
| 1356582514 | Brenda Matzkin | Specialist | 17 Hillhouse Ave, New Haven, CT 06511-8965 | 2009-03-18 |
| 1871734020 | Lynda Boynton | Specialist | 17 Hillhouse Ave, New Haven, CT 06511-8965 | 2009-03-18 |
| 1609013986 | David Francis Brzozowski | Pharmacist | 17 Hillhouse Ave, New Haven, CT 06511-8965 | 2009-01-08 |
| 1659570182 | Margaret Becker | Nurse Practitioner | 17 Hillhouse Ave, New Haven, CT 06511-6815 | 2007-07-14 |
| 1972710614 | John W Blanton | Pediatrics | 17 Hillhouse Ave, New Haven, CT 06511-6815 | 2007-05-16 |
| 1902010580 | Stephanie S. Spangler | Obstetrics & Gynecology | 17 Hillhouse Ave, New Haven, CT 06511-6815 | 2007-05-10 |
| 1003947375 | Martha Lee Asarisi | Pharmacist | 17 Hillhouse Ave, New Haven, CT 06511-6815 | 2007-03-08 |
| 1144359894 | Mark David Theriault | Pharmacist | 17 Hillhouse Ave, New Haven, CT 06520 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659903599 | Ann M Samra-theurer | Specialist | 3988 Cobblestone Cv, New Haven, IN 46774-2078 | 2020-02-09 |
| 1578949830 | Lee Shaul Yaari | Specialist | 800 Howard Ave # Ybp133, Yale- New Haven Hospital, New Haven, CT 06519-1369 | 2015-08-09 |
| 1396068847 | Melissa Fappiano | Specialist | 915 Ella Grasso Blvd, New Haven, CT 06519-5516 | 2010-03-11 |
| 1023349255 | Elzabeth K Hartup | Specialist | 8805 Edwardsberg Pl, New Haven, IN 46774-1079 | 2010-01-28 |
| 1215164058 | Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou | Specialist | One Long Wharf Drive, Suite #302, New Haven, CT 06511-5593 | 2009-06-19 |
| 1386885796 | Jay K Pahade | Specialist | Tompkins East 2, Dept of Radiology- Yale Unversity, New Haven, CT 06520-8042 | 2009-03-13 |
| 1447273073 | James Charney | Specialist | 413 Orange St, New Haven, CT 06511-6424 | 2006-07-25 |
| 1720003742 | Richard Joseph Restifo | Specialist | 59 Elm St, Suite 560, New Haven, CT 06510-2047 | 2006-07-12 |
| 1033157714 | Richard P Salzano Jr. | Specialist | 136 Sherman Ave Ste 205, New Haven, CT 06511-5210 | 2006-06-03 |
| 1639167240 | Radiology Consultants, P.C. | Specialist | 40 Temple St, Suite 2b, New Haven, CT 06510-2715 | 2005-10-07 |
| 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.