JEANNIE DILWORTH (NPI# 1265487425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265487425 |
| Entity Type | Individual |
| Full Name | JEANNIE DILWORTH |
| Credential | APRN |
| Practice Address |
925 Sullivan Ave Unit 2 South Windsor CT 06074-2025 |
| Practice Telephone | 8604327771 |
| Practice Fax Number | 8604327774 |
| Mailing Telephone | 8604327771 |
| Mailing Fax Number | 8604327774 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2015-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 001987 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
001987 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004253407 | 05 |
| Street Address |
925 SULLIVAN AVE UNIT 2 |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114924172 | Elizabeth Mb Visone | Nurse Practitioner | 925 Sullivan Ave, Suite 100, South Windsor, CT 06074-2025 | 2005-07-06 |
| 1184140394 | Marcy Calsetta | Nurse Practitioner | 925 Sullivan Ave, Ste 1, South Windsor, CT 06074-2080 | 2017-08-18 |
| 1902350382 | Kara Nelsen | Nurse Practitioner | 925 Sullivan Ave, Suite 1, South Windsor, CT 06074-2025 | 2016-08-15 |
| 1396193488 | Climb Innovations LLC | Family Medicine | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2016-05-30 |
| 1285011361 | Jeannie Dilworth, LLC | Nurse Practitioner | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2015-04-28 |
| 1134513062 | Art of Therapy, LLC. | Marriage & Family Therapist | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2015-03-28 |
| 1144614074 | Clearview Therapy, LLC. | Social Worker | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2015-03-28 |
| 1093947657 | Tracy Marie Lewis | Social Worker | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2009-08-17 |
| 1336385871 | Stacey Mae Hansen | Marriage & Family Therapist | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2009-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| 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 |
|---|---|---|---|---|
| 1801414602 | Georgina Twumasi Mental Health LLC | Nurse Practitioner | 29 Wildwood Cir, South Windsor, CT 06074-1700 | 2020-07-08 |
| 1487125456 | Rapha Behavioral Services LLC | Nurse Practitioner | 925 Sullivan Ave Ste 2, South Windsor, CT 06074-2080 | 2018-12-16 |
| 1285011361 | Jeannie Dilworth, LLC | Nurse Practitioner | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2015-04-28 |
| 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 |
| 1003425331 | Ryan Keenan | Nurse Practitioner | 34 Seaview Ave, West Haven, CT 06516-6846 | 2020-07-22 |
| 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 |
| 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 | SOUTH WINDSOR |
| Zip Code | 06074 |
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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.