MARISA BEALS (NPI# 1356905319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356905319 |
| Entity Type | Individual |
| Full Name | MARISA BEALS |
| Practice Address |
226 Mill Hill Ave Bridgeport CT 06610-2826 |
| Mailing Address |
267 Grant St Bridgeport CT 06610-2870 |
| Practice Telephone | 2033843233 |
| Practice Fax Number | 2033844362 |
| Mailing Telephone | 2033843000 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
226 MILL HILL AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-2826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093719700 | Armand John Wolff | Internal Medicine | 226 Mill Hill Ave, 3rd Floor, Bridgeport, CT 06610-2826 | 2005-06-09 |
| 1306443296 | Zachary Edward Cipriano | Speech-Language Pathologist | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2020-10-05 |
| 1417560459 | Susan Carol Carbine | Physical Medicine & Rehabilitation | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2020-08-28 |
| 1013540319 | Erin Rudiak | Nurse Practitioner | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2020-02-15 |
| 1609436088 | Megan Charleston | Physical Therapist | 226 Mill Hill Ave, Bridgeport, CT 06610 | 2019-06-18 |
| 1962066993 | Metehan Imamoglu | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2019-04-25 |
| 1538722418 | Laura Tafuri | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2019-04-17 |
| 1396208526 | Omar Tarek Sobh | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2019-04-14 |
| 1659850196 | Alexandra Theresa Nelson | Speech-Language Pathologist | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2018-08-07 |
| 1902302870 | Nahum Oliva Zacarias | Physical Therapy Assistant | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2018-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| 1922532746 | Megha Kureti | Student in an Organized Health Care Education/Training Program | 267 Grant St Fl 3, Bridgeport, CT 06610 | 2017-04-18 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| Find all providers in zip 06610 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1639674120 | Wesley Nilsson | Student in an Organized Health Care Education/Training Program | 267 Grant St Dept Of, Bridgeport, CT 06610-2805 | 2018-03-27 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06610 |
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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.