JACQUELINE ANDRIA DIETRICH (NPI# 1285283747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285283747 |
| Entity Type | Individual |
| Full Name | JACQUELINE ANDRIA DIETRICH |
| Practice Address |
809 Main St East Hartford CT 06108-3117 |
| Practice Telephone | 8605281359 |
| Mailing Telephone | 8605281359 |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2019-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8199 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
809 MAIN ST |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06108-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880444 | Fabiana Aretusa Silva | Social Worker | 809 Main St, East Hartford, CT 06108-3117 | 2020-08-06 |
| 1477106722 | Amelia Flater | Physician Assistant | 809 Main St, East Hartford, CT 06108-3117 | 2019-07-16 |
| 1215422514 | Jacqueline Jordan | Physician Assistant | 809 Main St, East Hartford, CT 06108-3142 | 2018-06-28 |
| 1932558442 | Thomas Nicholas Shusterman | Social Worker | 809 Main St, East Hartford, CT 06108-3142 | 2016-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437435 | Decent Homecare Services LLC | Homemaker | 527 Burnside Avenue, Suite 1, East Hartford, CT 06108 | 2020-04-27 |
| 1164055810 | First Choice Health Center Inc | Durable Medical Equipment & Medical Supplies | 110 Connecticut Blbd, East Hartford, CT 06108 | 2020-02-20 |
| 1457848731 | Heavenly Care LLC | Home Health | 35 Greene Terrace, East Hartford, CT 06108 | 2018-04-22 |
| 1750894275 | Thamara Vanessa Jonathas | Nurse Practitioner | 477 Connecticut Blvd Ste 119, East Hartford, CT 06108 | 2017-11-06 |
| 1851802474 | Empathic Care Counseling LLC | Counselor | 357 East Center Street, Manchester, CT 06108 | 2017-10-23 |
| 1235654427 | Kacey Megquier | Specialist/Technologist | 132 Arbutus Street, East Hartford, CT 06108 | 2017-08-08 |
| 1225559826 | First Choice Health Centers, Inc. | Clinic/Center | 809 Main Street, East Hartford, CT 06108 | 2017-07-05 |
| 1205361599 | Freda Osei-parker | Pharmacist | 16a Saint Regis Street, East Hartford, CT 06108 | 2017-04-25 |
| 1831648740 | Marcia Loving Care Home Care Agency | Home Health | 23 Bidwell Street, East Hartford, CT 06108 | 2016-10-04 |
| 1770932642 | First Choice Health Centers, Inc. | Clinic/Center | 92 Connecticut Boulevard, East Hartford, CT 06108 | 2016-06-10 |
| Find all providers in zip 06108 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245709864 | Davi-ann Francis Brown | Nurse Practitioner | 144 Main St Ste D, East Hartford, CT 06118-3239 | 2018-11-14 |
| 1588149785 | April Sweet | Nurse Practitioner | 62 Garden St, East Hartford, CT 06108-1742 | 2018-10-03 |
| 1750894275 | Thamara Vanessa Jonathas | Nurse Practitioner | 477 Connecticut Blvd Ste 119, East Hartford, CT 06108 | 2017-11-06 |
| 1326014432 | Deborah Poerio | Nurse Practitioner | 763burnside Avenue, East Hartford, CT 06108 | 2006-02-28 |
| 1891320404 | Anthony Veturis | Nurse Practitioner | 281 Main St, East Hartford, CT 06118-1823 | 2020-03-04 |
| 1841764305 | Vallerie Michelle Hibbert | Nurse Practitioner | 281 Main St, East Hartford, CT 06118-1823 | 2019-01-17 |
| 1043726904 | Kristina Agranat | Nurse Practitioner | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2017-12-14 |
| 1881067247 | Christina Morrissey | Nurse Practitioner | 281 Main St, East Hartford, CT 06118 | 2015-11-07 |
| 1457772964 | Florence Olakojo | Nurse Practitioner | 580 Burnside Ave, Suite 4, East Hartford, CT 06108-3579 | 2013-12-31 |
| 1336573146 | Faisal Ijaz | Nurse Practitioner | 580 Burnside Ave, East Hartford, CT 06108-3579 | 2013-08-28 |
| Find all providers in EAST HARTFORD | ||||
| City | EAST HARTFORD |
| Zip Code | 06108 |
Please comment or provide details below to improve the information on JACQUELINE ANDRIA DIETRICH.
| 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.