ALYSON NICOLOSI


Address: 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418
Phone: 2037568021

ALYSON NICOLOSI (NPI# 1225461221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225461221
Entity Type Individual
Full Name ALYSON NICOLOSI
Other Name ALYSON ADLER
Credential APRN
Practice Address 80 Phoenix Ave
Suite 201
Waterbury
CT 06702-1418
Practice Telephone 2037568021
Practice Fax Number 2035969038
Mailing Telephone 2037568021
Mailing Fax Number 2035969038
Enumeration Date 2013-08-13
Last Update Date 2015-12-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
005452 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 008046690 05
CT HEALTHYCT 223160873 01
CT UNITED HEALTH CARE 223160873 01
CT ANTHEM BCBS 1225461221 01

Office Location

Street Address 80 PHOENIX AVE
SUITE 201
City WATERBURY
State CT
Zip Code 06702-1418

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497756902 Michael Bass Dentist 80 Phoenix Ave, Suite #102, Waterbury, CT 06702-1418 2005-08-09
1356996920 Raeven B Keene Dental Hygienist 80 Phoenix Ave, Waterbury, CT 06702-1418 2019-08-09
1578022166 Daedly Potusek Nurse Practitioner 80 Phoenix Ave, Waterbury, CT 06702-1418 2019-03-14
1598239873 Ashley Corso Dental Hygienist 80 Phoenix Ave, Waterbury, CT 06702-1418 2019-01-19
1326510801 Monica Rose Depaolo Dental Hygienist 80 Phoenix Ave, Waterbury, CT 06702-1418 2018-12-21
1023536232 Courtney Dowen Nurse Practitioner 80 Phoenix Ave, Waterbury, CT 06702-1418 2017-09-07
1851834147 Lindsey Maloney Nurse Practitioner 80 Phoenix Ave, Waterbury, CT 06702-1418 2016-11-18
1063864346 Miguel Mantilla Internal Medicine 80 Phoenix Ave, Waterbury, CT 06702-1418 2016-07-11
1124477518 George Gogas Social Worker 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 2016-06-07
1649626300 Irene Maturo Dental Hygienist 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 2016-05-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780120295 Melitza Velez Counselor 80 Prospect St., Waterbury, CT 06702 2017-01-09
1467813600 Ashley Joseph Counselor 30 Holmes Ave, Waterbury, CT 06702 2016-03-16
1649662313 Lori Arens Social Worker 141 E Main St Fl 4, Waterbury, CT 06702 2015-03-04
1265725584 Zelda Shleifer Audiologist 21 W Main St Fl Place-3, Waterbury, CT 06702 2011-05-19
1700024585 Charlene Angela Jurgaitis Durable Medical Equipment & Medical Supplies 102 Grand Street, Waterbury, CT 06702 2009-02-02
1518090570 Nathan Z Imre Pharmacist 161 East Main St Central Pharmacy, Waterbury, CT 06702 2007-03-13
1922149467 Rachael A Petitti Social Worker 402 East Main Street, Waterbury, CT 06702 2007-02-09
1710024484 Abbot Terrace Health Center Assisted Living Facility 44 Abbott Terrace, Waterbury, CT 06702 2007-01-31
1205994555 Michael Arcangel Padilla Social Worker Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 2006-12-05
1205902723 Colette M Anderson Social Worker 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 2006-11-27
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467072033 Sarah Michelle Whalen Nurse Practitioner 100 Jefferson Sq, Waterbury, CT 06706-1109 2020-04-23
1720616246 Susan Antoinette Pappas Nurse Practitioner 88 Grandview Ave, Waterbury, CT 06708-2509 2020-03-30
1578022166 Daedly Potusek Nurse Practitioner 80 Phoenix Ave, Waterbury, CT 06702-1418 2019-03-14
1124592274 Deon Johnson-allen Nurse Practitioner 88 Grandview Ave, Waterbury, CT 06708-2509 2019-01-11
1356818421 Olanike Oyeyemi Idowu Nurse Practitioner 64 Robbins St, Waterbury, CT 06708-2613 2018-10-26
1104344506 Kimberly Burns Nurse Practitioner 30 Holmes Ave, Waterbury, CT 06710-2412 2017-09-06
1114462561 Shantelle Brokaw Nurse Practitioner 128 Cedar Ave, Waterbury, CT 06705-2700 2016-12-21
1407201957 Alexandria Smith Nurse Practitioner 30 Holmes Ave, Waterbury, CT 06710-2412 2016-05-03
1134504715 Nicholas James O'brien Nurse Practitioner 60 N Main St, 3rd Floor, Waterbury, CT 06702-1443 2015-07-24
1780997601 Barbara Kimble-goodman Nurse Practitioner 95 Thomaston Ave, Waterbury, CT 06702-1007 2010-07-20
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Competitor

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City WATERBURY
Zip Code 06702

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Dataset Information

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.

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