SHELBY KOMISAR (NPI# 1215554845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215554845 |
| Entity Type | Individual |
| Full Name | SHELBY KOMISAR |
| Practice Address |
1813 Peck Ln Cheshire CT 06410-4411 |
| Practice Telephone | 2039805192 |
| Mailing Telephone | 2039805192 |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
136489 | CT | Nursing Service Providers |
| Street Address |
1813 PECK LN |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410-4411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549252 | Piece To Peace, LLC | Social Worker | 609 West Johnson Avenue, Third Floor, Cheshire, CT 06410 | 2020-02-05 |
| 1023678869 | Suzanne Meyer-farrell | Counselor | 673 South Avenue, Cheshire, CT 06410 | 2019-06-14 |
| 1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
| 1528558525 | Stephen Lynam | Specialist/Technologist | 300 Wiese Rd, Cheshire, CT 06410 | 2018-05-15 |
| 1205358934 | Jayme Lynn Tapp | Physical Therapist | 150 Cook Hill Road, Cheshire, CT 06410 | 2017-07-14 |
| 1366810152 | Lauren K Johnson | Counselor | 609 W Johnson Ave Unit 310, Cheshire, CT 06410 | 2015-09-10 |
| 1225423924 | Christian Daniel Ward | Internal Medicine | 366 S Main St Ste 2, Cheshire, CT 06410 | 2015-03-31 |
| 1750795647 | James W. Pier, Ph.d., LLC | Clinical Neuropsychologist | 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 | 2014-06-18 |
| 1619398427 | Joanna Garfinkle | Psychologist | 1095 South Main Street, Cheshire, CT 06410 | 2013-12-20 |
| 1649511437 | Heather R Laselle | Social Worker | 176 Robin Ln, Cheshire, CT 06410 | 2013-03-05 |
| Find all providers in zip 06410 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639717127 | Clara Bowron | Registered Nurse | 106 Shore Dr, Guilford, CT 06437-1590 | 2019-12-15 |
| 1063977510 | Abbey Farrell | Registered Nurse | 35 Silent Grv, Westport, CT 06880-2228 | 2019-02-08 |
| 1346643079 | Ana Gurley | Registered Nurse | 37 Buena Vista Dr, Greenwich, CT 06831-4210 | 2014-10-08 |
| 1598194714 | Jeanne Nicole Farrell | Registered Nurse | 98 Lakewood Cir, South Glastonbury, CT 06073-2312 | 2013-11-07 |
| 1013158732 | Alicia V Casucci | Registered Nurse | 68 Oxbow Rd, Fairfield, CT 06824-7323 | 2009-03-09 |
| 1164498341 | Leslie Lapointe | Registered Nurse | 15 Teachers Dr, Norwich, CT 06360-4029 | 2006-02-27 |
| 1962029660 | Brittany Athena Molkenthin | Registered Nurse | 282 Washington St, Hartford, CT 06106-3322 | 2020-06-29 |
| 1376164152 | Marie Alexis Del Mundo Ingco | Registered Nurse | 76 New Britain Ave, Hartford, CT 06106-3305 | 2020-05-02 |
| 1194378539 | Melissa Jenkins Lee | Registered Nurse | 282 Washington St, Hartford, CT 06106-3322 | 2019-07-23 |
| 1598220063 | Kathleen Patricia Tighe | Registered Nurse | 24 Stevens St, Norwalk, CT 06850-3852 | 2019-02-08 |
| Find all providers with the same taxonomy | ||||
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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.