MICAELA EARLE KWOCHKA (NPI# 1215588009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215588009 |
| Entity Type | Individual |
| Full Name | MICAELA EARLE KWOCHKA |
| Credential | PA-S |
| Practice Address |
17 Sunrise Ter Monroe CT 06468-2925 |
| Mailing Address |
100 Church St S Ste A230 New Haven CT 06519-1703 |
| Practice Telephone | 2038146292 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
17 SUNRISE TER |
| City | MONROE |
| State | CT |
| Zip Code | 06468-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669932117 | Christine Fuchs | Social Worker | 755 Main Street, Building 8, Monroe, CT 06468 | 2019-03-21 |
| 1700379765 | Emily Ding | Dentist | 241 Monroe Tpke, Monroe, CT 06468 | 2018-06-13 |
| 1427563550 | Oak Tree Therapy Pllc | Community/Behavioral Health | 755 Main Street, Building #1, Monroe, CT 06468 | 2017-12-12 |
| 1871013219 | Growth Therapy LLC | Marriage & Family Therapist | 755 Main St., Monroe, CT 06468 | 2017-06-27 |
| 1134677719 | Jacqueline M D'louhy | Social Worker | 115 Main St Main Street Counseling, Unit 3, Monroe, CT 06468 | 2016-09-13 |
| 1841638913 | Tara E Beall-gomes | Counselor | 755 Main St Unit 3, Monroe, CT 06468 | 2013-06-11 |
| 1609122787 | Jaimme Lee Franson | Nurse Practitioner | 324 Elm St Suite 202b, Monroe, CT 06468 | 2012-07-26 |
| 1427383488 | Danielle Maryott | Social Worker | 755 Main Street No. 8 Suite B, Monroe, CT 06468 | 2009-10-08 |
| 1710194758 | Rory T Perimenis | Dentist | 324 Elm Street, Suite 201a, Monroe, CT 06468 | 2007-05-17 |
| 1548339542 | Donald P. Opatrny | Marriage & Family Therapist | 755 Main St Ste 2, Aspetuck Counseling Center, Monroe, CT 06468 | 2006-11-06 |
| Find all providers in zip 06468 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144048 | Travis Thomas Phillips | Student in an Organized Health Care Education/Training Program | 2912 Hargette Rd, Monroe, NC 28112-8142 | 2020-11-08 |
| 1588293179 | John Braxton Phifer | Student in an Organized Health Care Education/Training Program | 7005 Fairview Ct, Monroe, NC 28110-8922 | 2020-04-06 |
| 1346705407 | Jaclyn Ketterer | Student in an Organized Health Care Education/Training Program | 394 Old Dutch Hollow Rd, Monroe, NY 10950-4575 | 2019-02-04 |
| 1659860922 | Sonia Victoria Altavilla | Student in an Organized Health Care Education/Training Program | 246 Barn Hill Rd, Monroe, CT 06468-2015 | 2018-05-02 |
| 1477086254 | Mina Siddiqui | Student in an Organized Health Care Education/Training Program | 15 Del Mar Way, Monroe, NJ 08831-5823 | 2017-04-07 |
| 1346780384 | Amanda Vojta | Student in an Organized Health Care Education/Training Program | 9 Roanoke Dr, Monroe, NY 10950-2207 | 2017-02-23 |
| 1518326628 | Stephen Amburgey | Student in an Organized Health Care Education/Training Program | 221 Bethel Ln, Monroe, VA 24574-3114 | 2016-02-17 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1336418466 | Ashley Breanne Karow | Student in an Organized Health Care Education/Training Program | 3220 Parkwood School Rd, Monroe, NC 28112-0001 | 2011-12-19 |
| 1538363841 | Ismet A Mirza | Student in an Organized Health Care Education/Training Program | 5 Sanibel Ct, Monroe, NJ 08831-5816 | 2007-06-12 |
| Find all providers in MONROE | ||||
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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.