ALEXANDRA VITALE (NPI# 1265803738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265803738 |
| Entity Type | Individual |
| Full Name | ALEXANDRA VITALE |
| Other Name | ALEXANDRA VITALE |
| Credential | PA-C |
| Practice Address |
15 Riverside Ave Bristol CT 06010 |
| Mailing Address |
25b Pilgrim Hbr Wallingford CT 06492-5429 |
| Practice Telephone | 8605853333 |
| Mailing Telephone | 2032328976 |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2019-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 3455 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
3455 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2408 Whitney Ave, Hamden, CT 065183209 | 2034073550 | 2032811164 |
| 41 Brewster Rd, Bristol, CT 060105161 | 8605853333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750522561 | Alexandra L Vitale | Social Worker | 353 Martha Ave, Bellport, NY 11713-1524 | 2009-03-09 |
| 1396037438 | Alexandra Vitale | Case Manager/Care Coordinator | 521 Sw 11th Ave, Portland, OR 97205-2634 | 2011-05-09 |
| Street Address |
15 RIVERSIDE AVE |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1912529660 | Joanna D Wojtun | Physician Assistant | 15 Riverside Ave, Bristol, CT 06010 | 2020-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| 1518225184 | Sara Marie Tye | Speech-Language Pathologist | 145 Fox Den Rd, Bristol, CT 06010 | 2012-05-02 |
| Find all providers in zip 06010 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497033252 | Amanda Jean Lutz | Physician Assistant | 335 Radcliffe St, Bristol, PA 19007-5015 | 2011-07-28 |
| 1780846428 | Damon Troy Bartley | Physician Assistant | One Medical Park Blvd, Suite 458w, Bristol, TN 37620 | 2008-06-25 |
| 1215549142 | Danielle Sarah Desmarais | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2020-08-21 |
| 1093354953 | Erica Stolarz | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5141 | 2019-12-24 |
| 1992348254 | Bethanie Patton | Physician Assistant | 1 Medical Park Blvd Ste 458w, Bristol, TN 37620-7456 | 2019-10-18 |
| 1144773524 | Christopher M Haniford | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2016-08-02 |
| 1912385980 | Alison Joyce | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2015-05-11 |
| 1265824379 | Joseph Ambrogio | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2015-02-26 |
| 1104228022 | Christopher Tagliavini | Physician Assistant | 22 Pine St, Bristol, CT 06010-6948 | 2014-09-23 |
| 1265831093 | Dena A. Skowronski | Physician Assistant | 41 Brewster Rd, Bristol, CT 06010-5161 | 2014-08-18 |
| Find all providers in BRISTOL | ||||
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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.