DONNA MARIE TICE (NPI# 1184799413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184799413 |
| Entity Type | Individual |
| Full Name | DONNA MARIE TICE |
| Other Name | DONNA PETRILLO |
| Credential | APRN BC |
| Practice Address |
950 Campbell Avenue Veteran's Administration Medical Center West Haven CT 06516 |
| Mailing Address |
10 Regent Drive Shelton CT 06484 |
| Practice Telephone | 2039325711 |
| Mailing Telephone | 2039257795 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
003511 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669944930 | Donna S Tice | Occupational Therapist | 1270 Belmont Ave, Schenectady, NY 12308-2104 | 2018-12-26 |
| Street Address |
950 CAMPBELL AVENUE VETERAN'S ADMINISTRATION MEDICAL CENTER |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548265200 | Jennifer E Napoleone | Nurse Practitioner | 950 Campbell Avenue, Va Healthcare System B1/118, West Haven, CT 06516 | 2005-06-17 |
| 1801440342 | Adrienne Julia Jaeger | Nurse Practitioner | 950 Campbell Avenue, West Haven, CT 06516 | 2019-08-01 |
| 1558898452 | Jadry Gruen | Internal Medicine | 950 Campbell Avenue, Bldg 1, 5th Floor, West Haven, CT 06516-0651 | 2017-05-23 |
| 1841605581 | West Haven Va Healthcare System | General Acute Care Hospital | 950 Campbell Avenue, West Haven, CT 06516 | 2014-06-20 |
| 1174934426 | Karen Le | Speech-Language Pathologist | 950 Campbell Avenue, Va Connecticut Healthcare System, West Haven, CT 06516 | 2014-05-08 |
| 1992085823 | Emily Ann Melin | Nurse Practitioner | 950 Campbell Avenue, West Haven, CT 06516 | 2011-08-23 |
| 1073827358 | Hiuying Edith Zhou | Audiologist | 950 Campbell Avenue, Audiology and Speech Pathology (126), West Haven, CT 06516 | 2010-07-29 |
| 1437328135 | Yvonne G Arthur Streete | Registered Nurse | 950 Campbell Avenue, West Haven, CT 06516 | 2008-02-27 |
| 1306963012 | Natalie Frances Holt | Anesthesiology | 950 Campbell Avenue, Va Connecticut Healthcare System - West Haven Campus, West Haven, CT 06516 | 2007-03-26 |
| 1326134701 | Antonio Obando | Radiology | 950 Campbell Avenue, West Haven, CT 06516-2700 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425331 | Ryan Keenan | Nurse Practitioner | 34 Seaview Ave, West Haven, CT 06516-6846 | 2020-07-22 |
| 1073065603 | Sandra Ntreh | Nurse Practitioner | 115 Ardale St, West Haven, CT 06516-1834 | 2016-10-31 |
| 1023128543 | Michele V Coral | Nurse Practitioner | 950 Campbell Ave # 116-a, West Haven, CT 06516-2770 | 2006-08-30 |
| 1548265200 | Jennifer E Napoleone | Nurse Practitioner | 950 Campbell Avenue, Va Healthcare System B1/118, West Haven, CT 06516 | 2005-06-17 |
| 1174806681 | Gia Santoro | Nurse Practitioner | 950 Campbell Ave, Building 1, 7th Floor, 7-186 E, West Haven, CT 06516-2770 | 2011-09-21 |
| 1437488434 | Janice G. Pereira | Nurse Practitioner | 270 Center St, West Haven, CT 06516-4400 | 2009-12-22 |
| 1952583767 | Natasha Harris | Nurse Practitioner | 270 Center St, West Haven Mental Health Center, West Haven, CT 06516 | 2007-12-04 |
| 1487750972 | Dana Jean Cervone | Nurse Practitioner | 950 Campbell Ave, West Haven, CT 06516-2770 | 2006-09-15 |
| 1497707632 | Cheryl A Bevvino | Nurse Practitioner | 950 Campbell Ave, West Haven, CT 06516-2770 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164935 | Sheneese Denelle Charles | Nurse Practitioner | 22 Victoria Rd, New Britain, CT 06052-1536 | 2020-11-03 |
| 1396345179 | Kate Hanselman | Nurse Practitioner | 224 Saint John St # 3l, New Haven, CT 06511-4917 | 2020-10-29 |
| 1518565399 | Gina Kolstad | Nurse Practitioner | 279 Quarry Rd # 2, Glastonbury, CT 06033-3406 | 2020-10-13 |
| 1043818966 | Shakeria C Brown | Nurse Practitioner | 567 Millville Ave Apt 3-10, Naugatuck, CT 06770-2337 | 2020-10-13 |
| 1154937910 | Gregory Guion | Nurse Practitioner | 2275 Silas Deane Highway, 2nd Floor, Rocky Hill, CT 06067-2343 | 2020-09-17 |
| 1649888256 | Healthy Minds Pllc | Nurse Practitioner | 40 Russ St, Hartford, CT 06106-1520 | 2020-07-20 |
| 1174131205 | Kimberly Levitt | Nurse Practitioner | 466 Ridgebury Rd, Ridgefield, CT 06877-1228 | 2020-07-15 |
| 1801414602 | Georgina Twumasi Mental Health LLC | Nurse Practitioner | 29 Wildwood Cir, South Windsor, CT 06074-1700 | 2020-07-08 |
| 1356978688 | Rachel Feit | Nurse Practitioner | 63 Pine Tree Dr, Stamford, CT 06906-1529 | 2020-03-25 |
| 1255966222 | Medica Today LLC | Nurse Practitioner | 555 Highland Ave Ste 23, Cheshire, CT 06410-2255 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
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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.