GRACE KELLEY (NPI# 1285839282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285839282 |
| Entity Type | Individual |
| Full Name | GRACE KELLEY |
| Credential | CRNA, APRN |
| Practice Address |
140 Grandview Ave Waterbury CT 06708-2505 |
| Mailing Address |
111 Clock Tower Commons Route 22 Brewster NY 10509-4055 |
| Practice Telephone | 2037577000 |
| Mailing Telephone | 8455924919 |
| Mailing Fax Number | 8452795168 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2015-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | E57685 | CT | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 003750 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | RN LICENCES | E57685 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487175048 | Grace Kelley | Registered Nurse | 3174 Packard St, Ann Arbor, MI 48108 | 2017-07-03 |
| 1538305685 | Grace Kelley | Counselor | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2008-12-19 |
| Street Address |
140 GRANDVIEW AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131152 | Bidarkote Somanath | Pediatrics | 140 Grandview Ave, Suite No 206, Waterbury, CT 06708-2505 | 2005-08-11 |
| 1336437029 | Kathryn Spiess | Advanced Practice Midwife | 140 Grandview Ave, Suite 202, Waterbury, CT 06708-2505 | 2011-07-14 |
| 1679868822 | Stephen S Wallace | Dentist | 140 Grandview Ave, Suite 102, Waterbury, CT 06708-2505 | 2011-06-16 |
| 1245520220 | Eileen Correia-depaola | Massage Therapist | 140 Grandview Ave, Suite 104, Waterbury, CT 06708-2505 | 2011-04-12 |
| 1861704181 | Irida Molla | Internal Medicine | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2010-07-02 |
| 1104070077 | Leslie Ann Torres | Social Worker | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2008-11-05 |
| 1962651968 | Connecticut Kidney & Hypertension Specialists, LLC | Internal Medicine | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2008-09-15 |
| 1124280631 | Meghan Marie Slemmens | Obstetrics & Gynecology | 140 Grandview Ave, Waterbury, CT 06708-2505 | 2008-06-26 |
| 1689846719 | David G. Reis Md, LLC | Specialist | 140 Grandview Ave, Suite 204, Waterbury, CT 06708-2505 | 2008-03-28 |
| 1982882882 | Sandeep Tiyyagura | Internal Medicine | 140 Grandview Ave, Suite 101, Waterbury, CT 06708-2505 | 2008-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093088478 | Brandon H. Mcknight | Nurse Anesthetist, Certified Registered | 140 Grandview Ave Ste 103, Waterbury Anesthesiology Associates, Inc., Waterbury, CT 06708-2518 | 2012-02-16 |
| 1942201264 | Surgi-center Anesthesiologists, P.c | Nurse Anesthetist, Certified Registered | 160 Robbins St, Waterbury, CT 06708-2652 | 2005-08-09 |
| 1851909691 | Andrea Szarkowicz | Nurse Anesthetist, Certified Registered | 56 Franklin St Ste 1, Waterbury, CT 06706-1281 | 2020-07-17 |
| 1386261949 | Dorothy Sliwonik | Nurse Anesthetist, Certified Registered | 64 Robbins St, Waterbury, CT 06708-2613 | 2020-06-30 |
| 1134603111 | Kadah Reich | Nurse Anesthetist, Certified Registered | 56 Franklin St, Waterbury, CT 06706-1253 | 2018-09-17 |
| 1093213746 | Chantel Starr Pinney | Nurse Anesthetist, Certified Registered | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-01-29 |
| 1700325388 | Christina Young | Nurse Anesthetist, Certified Registered | 56 Franklin St, Waterbury, CT 06706-1253 | 2017-02-16 |
| 1316482813 | Moshe Schwarz | Nurse Anesthetist, Certified Registered | 56 Franklin St, Waterbury, CT 06706-1253 | 2016-12-20 |
| 1699105460 | Brenda Mclean | Nurse Anesthetist, Certified Registered | 56 Franklin St, Waterbury, CT 06706-1253 | 2013-11-15 |
| 1881023273 | Michael R Macchiarolo | Nurse Anesthetist, Certified Registered | 64 Robbins St, Waterbury, CT 06708-2613 | 2013-11-06 |
| Find all providers in WATERBURY | ||||
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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.