ADVANCED TELEMEDICINE LLC (NPI# 1306475306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306475306 |
| Entity Type | Organization |
| Organization Name | ADVANCED TELEMEDICINE LLC |
| Practice Address |
6 W River St Unit 491 Milford CT 06460-9471 |
| Mailing Address |
17 Mayflower Ct Milford CT 06460-4518 |
| Practice Telephone | 8008359812 |
| Practice Fax Number | 8889783688 |
| Mailing Telephone | 8008359812 |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | MICHELE L VALLEE (AUTHORIZED OFFICIAL/PROVIDER) |
| Authorized Official Telephone | 8604831074 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6 W RIVER ST UNIT 491 |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-9471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382463 | Mallory Deel | Nurse Practitioner | 415 E Dawson Rd, Milford, MI 48381-3215 | 2020-10-06 |
| 1831718972 | Deepa Abhilash | Nurse Practitioner | Nanticoke Memorial Hospital, 801, Middleford Rd, Milford, DE 19973 | 2020-04-09 |
| 1760016778 | Erica Lynn Bogan | Nurse Practitioner | 30 Bolt Ln, Milford, CT 06461-2001 | 2020-02-28 |
| 1184136350 | Paul Inge | Nurse Practitioner | 301 Jefferson Avenue, Mail Code 3119, Milford, DE 19963 | 2017-10-27 |
| 1295184570 | Kristal Clark | Nurse Practitioner | 415 E Stoneridge Dr, Milford, OH 45150-5037 | 2016-06-08 |
| 1033583976 | Daniel Gallagher | Nurse Practitioner | 1295 Betty Ln, Milford, OH 45150-2397 | 2015-11-16 |
| 1356697312 | Connie C Catron | Nurse Practitioner | 322 N Chicago St, Hoopeston Community Memorial Hospital Dba Milford Medic, Milford, IL 60953-1012 | 2012-07-27 |
| 1114298700 | Lisa A Perna | Nurse Practitioner | 3151 Central Blvd, Milford, MI 48380-4435 | 2012-01-13 |
| 1629366265 | Camella L. Granara | Nurse Practitioner | 117 Old Wilton Rd, Milford, NH 03055-3120 | 2011-07-18 |
| 1235448317 | Kenneth M Forte | Nurse Practitioner | 52 Wilson St, Milford, CT 06461-2538 | 2010-10-06 |
| Find all providers in MILFORD | ||||
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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.