MRS. JENNIFER MARY WATERS (NPI# 1356809222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356809222 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER MARY WATERS |
| Other Name | JENNIFER MARY D'ANGELO |
| Credential | NP |
| Practice Address |
20 York St New Haven CT 06510-3220 |
| Practice Telephone | 2035600206 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 8125 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
8125 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356836142 | Jennifer Leigh Waters | Occupational Therapist | 156 Route 15 North, Lafayette, NJ 07848 | 2018-06-25 |
| 1902345424 | Jennifer Hood Waters | Nurse Practitioner | 665 Charlie Braswell Rd, Goldsboro, NC 27530-9476 | 2017-02-16 |
| 1124487525 | Jennifer Waters | Occupational Therapist | 1975 4th Street, Box 4050, Rehab Services, San Francisco, CA 94158 | 2016-02-15 |
| 1811390404 | Jennifer Waters | Acupuncturist | 855 Maryland Ave, Syracuse, NY 13210-2502 | 2014-09-27 |
| 1154736254 | Jennifer Ruth Waters | Dentist | Vcu School of Dentistry 521 N. 11th Street, Suite 317, Richmond, VA 23298 | 2014-06-26 |
| 1790113751 | Jennifer Waters | Massage Therapist | 711 St Helens Ave, Tacoma, WA 98402-3722 | 2013-10-29 |
| 1992070536 | Jennifer Waters | Dietitian, Registered | 1638 Fredericksburg Ln, Aurora, IL 60503-3674 | 2012-03-15 |
| 1588647176 | Jennifer Unger Waters | Dentist | 1607 Washington Ave, Golden, CO 80401-1926 | 2005-11-28 |
| 1427524891 | Jennifer Waters | Adult Companion | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2018-10-23 |
| 1962815639 | Jennifer M Waters | Psychologist | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2014-06-10 |
| Street Address |
20 YORK ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547042 | Kimberly C Irwin | Specialist | 20 York St, New Haven, CT 06510-3220 | 2005-06-09 |
| 1225639644 | Lauren Marie Astorino | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-11-03 |
| 1598365215 | Apphia Rose Harris | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-30 |
| 1861091365 | Melissa Todice | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-26 |
| 1528665213 | Rebecca Dorothy Harrison | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-10-06 |
| 1467068551 | Marissa Meegan Sanca | Registered Nurse | 20 York St, New Haven, CT 06510-3220 | 2020-09-23 |
| 1093321234 | Oksana Petsukh | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2020-09-22 |
| 1841806114 | Madiha Shah | Pharmacist | 20 York St, New Haven, CT 06510-3220 | 2020-09-21 |
| 1053926303 | Tanyeri Barak | Student in an Organized Health Care Education/Training Program | 20 York St, Tompkins 226, New Haven, CT 06510-3220 | 2020-09-14 |
| 1548875776 | Lisa Wrubel | Registered Nurse | 20 York St, New Haven, CT 06510-3220 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306409222 | Terance A Anderson | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2019-04-16 |
| 1730667270 | Michael Riley Levien | Nurse Practitioner | 874 Howard Ave, New Haven, CT 06519-1106 | 2018-08-06 |
| 1972098762 | Hung Le | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510 | 2018-06-25 |
| 1295286110 | Qian Zeng | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2016-10-14 |
| 1922463835 | Thao T Nguyen | Nurse Practitioner | 874 Howard Ave, Basement - Room 007, New Haven, CT 06519-1106 | 2015-12-18 |
| 1982072591 | Shannon P Kukulka | Nurse Practitioner | 874 Howard Ave, New Haven, CT 06519-1106 | 2015-09-14 |
| 1669853800 | Jamie Stone Feingold | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2015-06-13 |
| 1134535859 | Rachel M Pisani | Nurse Practitioner | 20 York St, New Haven, CT 06510-3220 | 2014-07-02 |
| 1023223633 | Innovative Health Concepts | Nurse Practitioner | 1201 Daly Dr, New Haven, IN 46774-1891 | 2007-05-14 |
| 1962471342 | Zina I Crescenzi | Nurse Practitioner | 1450 Chapel Street, New Haven, CT 06511 | 2006-03-16 |
| Find all providers in NEW HAVEN | ||||
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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.