KUMUDHINI FERNANDO (NPI# 1306842133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306842133 |
| Entity Type | Individual |
| Full Name | KUMUDHINI FERNANDO |
| Credential | M.D. |
| Practice Address |
687 Campbell Ave West Haven CT 06516-3774 |
| Practice Telephone | 2039326481 |
| Practice Fax Number | 2039324051 |
| Mailing Telephone | 2039326481 |
| Mailing Fax Number | 2039324051 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2012-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 016797 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | RAILROAD MEDICARE | 001167972 | 01 |
| CT | OXFORD | P778776 | 01 |
| CT | 001167972 | 05 | |
| CT | CONNECTICARE | 016797 | 01 |
| CT | ANTHEM BLUE SHIELD | 010016797CT01 | 01 |
| CT | HEALTHNET | 0V7684 | 01 |
| CT | AETNA | 2671960 | 01 |
| Street Address |
687 CAMPBELL AVE |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-3774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354086 | Donna M Montesi | Nurse Practitioner | 687 Campbell Ave, West Haven, CT 06516-3774 | 2005-05-27 |
| 1588274096 | Kaitlyn Margaret Houde | Nurse Practitioner | 687 Campbell Ave, West Haven, CT 06516-3774 | 2020-08-10 |
| 1790302941 | Daniel Huntley | Registered Nurse | 687 Campbell Ave, West Haven, CT 06516-3774 | 2020-07-02 |
| 1609491703 | Elizabeth Ann Souza | Nurse Practitioner | 687 Campbell Ave, West Haven, CT 06516-3774 | 2020-06-15 |
| 1710513171 | Joanna K Yaconiello | Nurse Practitioner | 687 Campbell Ave, West Haven, CT 06516-3774 | 2020-03-18 |
| 1306480496 | Stephanie Borjas | Nurse Practitioner | 687 Campbell Ave, West Haven, CT 06516-3774 | 2019-10-31 |
| 1528557857 | Kathleen Thompson | Nurse Practitioner | 687 Campbell Ave, West Haven, CT 06516-3774 | 2018-05-02 |
| 1902314370 | Janice Myers | Nurse Practitioner | 687 Campbell Ave, West Haven, CT 06516-3774 | 2018-01-18 |
| 1043732746 | Olutoyin Adesola | Nurse Practitioner | 687 Campbell Ave, West Haven, CT 06516-3774 | 2017-07-13 |
| 1083147219 | Chanon C Biceglia | Nurse Practitioner | 687 Campbell Ave, West Haven, CT 06516-3774 | 2017-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699087999 | Sherif A Saleh | Family Medicine | 636 Campbell Ave, West Haven, CT 06516-4447 | 2010-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225638299 | Alyssa Mary Brown | Family Medicine | 82 Welles Dr, Newington, CT 06111-2625 | 2020-10-29 |
| 1598370389 | Korinne Fern Croce X | Family Medicine | 52 Meadowood Dr, New Milford, CT 06776-5732 | 2020-09-09 |
| 1619580263 | Chelsea Nicole Alves | Family Medicine | 111 Connecticut Blvd, East Hartford, CT 06108-3015 | 2020-08-24 |
| 1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
| 1598397192 | Healthmed Family Care | Family Medicine | 1209 S Broad St, Wallingford, CT 06492-1714 | 2020-02-11 |
| 1457991333 | Diane Iannini | Family Medicine | 16 Bridge End Farm Ln, Sandy Hook, CT 06482-1055 | 2020-01-08 |
| 1396382685 | Optimum Regenerative Care LLC | Family Medicine | 46 Benson Dr, Danbury, CT 06810-7231 | 2019-12-05 |
| 1801455761 | Steven John Rigatti | Family Medicine | 157 Uconn Ave, Glastonbury, CT 06033-1348 | 2019-06-13 |
| 1063071017 | Better Life- Better Health Pllc | Family Medicine | 728 Broad Street Ext # B, Waterford, CT 06385-1345 | 2019-06-12 |
| 1336703586 | Shazia Josephine Joseph | Family Medicine | 12 Village St Ste 5, North Haven, CT 06473-3828 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
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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.