REBECCA CORRIDORI (NPI# 1164928784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164928784 |
| Entity Type | Individual |
| Full Name | REBECCA CORRIDORI |
| Practice Address |
385 W Main St Avon CT 06001-4357 |
| Mailing Address |
1290 Silas Deane Hwy Wethersfield CT 06109-4337 |
| Practice Telephone | 8607771280 |
| Practice Fax Number | 8607771276 |
| Mailing Telephone | 8609726977 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2019-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
385 W MAIN ST |
| City | AVON |
| State | CT |
| Zip Code | 06001-4357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052217 | Elizabeth M Larned | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2020-10-30 |
| 1023650520 | Kristi Xhaxho Krikris | Plastic Surgery | 385 W Main St, Avon, CT 06001-4357 | 2019-10-16 |
| 1255990578 | Caitlin Patricia Soucy | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2019-06-11 |
| 1962069401 | Kylee Richmond | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2019-05-21 |
| 1134782485 | Kate-lyn Birchell | Nurse Practitioner | 385 W Main St, Avon, CT 06001-4357 | 2019-04-22 |
| 1881257061 | Joseph Downs | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2019-04-15 |
| 1669961736 | Ashley Corridori | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2018-05-04 |
| 1699290718 | Mary Beth Shafer | Nurse Practitioner | 385 W Main St, Avon, CT 06001 | 2017-08-09 |
| 1093239683 | Hartford Healthcare Urgent Care Centers, LLC | Clinic/Center | 385 W Main St, Avon, CT 06001-4357 | 2017-07-26 |
| 1619406675 | Alexander Ashe | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2017-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
| 1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
| 1801254297 | Vanessa Brodie | Psychologist | 395 W Avon Rd Ste 1, Avon, CT 06001 | 2016-02-01 |
| 1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
| 1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
| Find all providers in zip 06001 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255990578 | Caitlin Patricia Soucy | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2019-06-11 |
| 1881257061 | Joseph Downs | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2019-04-15 |
| 1306301668 | Melissa L Judd | Physician Assistant | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2019-01-31 |
| 1962976928 | Arielle Marie Brown | Physician Assistant | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2019-01-13 |
| 1487123956 | Sydney F Richards | Physician Assistant | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2018-11-14 |
| 1891262929 | Julia Kathryn Carson | Physician Assistant | 470 Collins St, Avon, NY 14414-1466 | 2018-10-26 |
| 1093292351 | Audra Lucille Cokain | Physician Assistant | 8244 E Us Highway 36 Ste 1100, Avon, IN 46123-9627 | 2018-07-19 |
| 1669961736 | Ashley Corridori | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2018-05-04 |
| 1558880872 | Stormi T Raines | Physician Assistant | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2017-09-19 |
| 1619406675 | Alexander Ashe | Physician Assistant | 385 W Main St, Avon, CT 06001-4357 | 2017-06-05 |
| Find all providers in AVON | ||||
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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.