DESIREE LYNN LAVERY (NPI# 1265929533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265929533 |
| Entity Type | Individual |
| Full Name | DESIREE LYNN LAVERY |
| Credential | NP-C |
| Practice Address |
205 S Main St Thomaston CT 06787-1740 |
| Practice Telephone | 8602836255 |
| Mailing Telephone | 8603840300 |
| Enumeration Date | 2018-04-22 |
| Last Update Date | 2019-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 12.007545 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
205 S MAIN ST |
| City | THOMASTON |
| State | CT |
| Zip Code | 06787-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265498190 | Primary Care Center of Thomaston, LLC | Internal Medicine | 205 S Main St, Thomaston, CT 06787-1740 | 2006-04-20 |
| 1023094133 | George Mehriz Barchini | Internal Medicine | 205 S Main St, Thomaston, CT 06787-1740 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679703870 | Manpuneet Singh | Dentist | 131 Main St Ste 103, Thomaston, CT 06787 | 2009-07-22 |
| 1669502985 | Thomaston Board of Education | Local Education Agency (LEA) | 1 Thomas Ave, Thomaston Center School, Thomaston, CT 06787 | 2007-03-06 |
| 1154337004 | Kerin B Foley | Social Worker | 344 Watertown Rd, Thomaston, CT 06787 | 2006-07-31 |
| 1649205766 | Christain Counseling Connection Inc | Counselor | 42 Church St, Torrington, CT 06787 | 2006-07-11 |
| 1598242992 | Mgr Wellness Counseling LLC | Clinic/Center | 14 S Main St, Thomaston, CT 06787 | 2018-07-27 |
| 1073630224 | Mark Joseph Cantin | Dentist | 22 Park St, Thomaston, CT 06787 | 2007-03-23 |
| 1548898042 | Heather Eisenberger | Student in an Organized Health Care Education/Training Program | 1164 Old Northfield Rd, Thomaston, CT 06787-1122 | 2020-03-30 |
| 1306111729 | Samuel Johnson | Counselor | 201 Humiston Cir, Thomaston, CT 06787-1223 | 2012-03-19 |
| 1750917381 | Paula Kuklinska-romot | Behavioral Analyst | 10 Ellen Ln, Thomaston, CT 06787-1292 | 2020-03-16 |
| 1750660999 | Thomaston Senior Center | Preferred Provider Organization | 64 Grove St, Thomaston, CT 06787-1419 | 2011-08-05 |
| Find all providers in zip 06787 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451275 | Felicia Annette Smith | Nurse Practitioner | 801 W Gordon St, Thomaston, GA 30286-3426 | 2020-06-15 |
| 1881229045 | Erica Denise Ferrell | Nurse Practitioner | 210 Hannahs Mill Rd, Thomaston, GA 30286-2801 | 2020-03-09 |
| 1104456235 | Lisa Gaye Ingram | Nurse Practitioner | 801 W Gordon St, Thomaston, GA 30286-3426 | 2020-01-16 |
| 1346885381 | Diana Lynn Kreismanis | Nurse Practitioner | 107 Jackson Ave, Thomaston, GA 30286-3481 | 2019-11-13 |
| 1366933558 | Shauna Johnson | Nurse Practitioner | 713 Andrews Dr, Thomaston, GA 30286-4524 | 2018-05-23 |
| 1891296620 | Hightower Physician Services, PC | Nurse Practitioner | 801 W Gordon St, Thomaston, GA 30286-3426 | 2018-02-27 |
| 1043594369 | Tammie Ann Williams | Nurse Practitioner | 202 Cherokee Rd, Thomaston, GA 30286-3402 | 2011-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454234 | Luiza Mcdonagh | Nurse Practitioner | 228 Willow Spgs, New Milford, CT 06776-4367 | 2020-10-14 |
| 1396342051 | Michele Lalonde Curiel | Nurse Practitioner | 55 Glen Pl, Glastonbury, CT 06033-2483 | 2020-10-06 |
| 1700492006 | Mijung Kim | Nurse Practitioner | 3124 Avalon Dr W, New Canaan, CT 06840-5944 | 2020-09-22 |
| 1396358404 | Rachel Elizabeth Paternoster | Nurse Practitioner | 52 Peck Rd Ste G, Torrington, CT 06790-6107 | 2020-08-28 |
| 1043823347 | Yunmin Chen | Nurse Practitioner | 269 Spring Rd, North Haven, CT 06473 | 2020-08-26 |
| 1881206555 | Suzanne Gleichauf | Nurse Practitioner | 7 Fleetwood Ln, Brookfield, CT 06804-3204 | 2020-08-23 |
| 1477165041 | Angelica M. Arteaga-blasio | Nurse Practitioner | 47 East Ave, Stamford, CT 06902-6116 | 2020-08-17 |
| 1598376162 | Jody Kusheba | Nurse Practitioner | 72 Cottage St, Monroe, CT 06468-2917 | 2020-08-16 |
| 1982213997 | Bryan Fix | Nurse Practitioner | 33 Rugby Rd, Shelton, CT 06484-1683 | 2020-07-26 |
| 1033735378 | Carmel M Keaveney | Nurse Practitioner | 3 Teregram Pl, Westport, CT 06880-2558 | 2020-06-23 |
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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.