KAITLYN O'BRIEN (NPI# 1386020238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386020238 |
| Entity Type | Individual |
| Full Name | KAITLYN O'BRIEN |
| Credential | PA-C |
| Practice Address |
112 Quarry Rd Suite 250 Trumbull CT 06611-4848 |
| Mailing Address |
2460 Martin Ave Bellmore NY 11710-3164 |
| Practice Telephone | 2033338800 |
| Mailing Telephone | 5162206596 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 23018838 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083185417 | Kaitlyn O'brien | Occupational Therapist | 953 High St, Victor, NY 14564-1168 | 2018-12-11 |
| 1457711541 | Kaitlyn Patricia O'brien | Dentist | 7730 N Fresno St, Suite #103, Fresno, CA 93720-2408 | 2016-03-02 |
| Street Address |
112 QUARRY RD SUITE 250 |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-4848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649277518 | Kristen M Broedlin | Nurse Practitioner | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2005-07-06 |
| 1427446970 | Lauren Marie Freer | Physician Assistant | 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4848 | 2015-01-07 |
| 1285067074 | Katherine M Masoud | Nurse Practitioner | 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4816 | 2013-08-15 |
| 1588008007 | Donna Duris | Registered Nurse | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2013-04-26 |
| 1922347335 | Michelle Johnson | Nurse Practitioner | 112 Quarry Rd, Suite 220, Trumbull, CT 06611-4816 | 2013-02-05 |
| 1104189992 | Molain Saintilus | Internal Medicine | 112 Quarry Rd, Suite 220, Trumbull, CT 06611-4848 | 2012-06-18 |
| 1205069838 | Shubnum Singh | Nurse Practitioner | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2009-08-31 |
| 1033348255 | Hayley M Ball | Pharmacist | 112 Quarry Rd, Suite 280, Trumbull, CT 06611-4848 | 2009-07-09 |
| 1861647059 | Michael Patrick Pollock | Anesthesiology | 112 Quarry Rd, Trumbull, CT 06611-4848 | 2008-12-01 |
| 1316102247 | Avinash Ramesh Gulrajani | Internal Medicine | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4816 | 2008-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 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 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356862429 | Daniel Ryan Tierney | Physician Assistant | 15 Corporate Dr Ste 2-8, Trumbull, CT 06611-1351 | 2017-06-29 |
| 1639529068 | Charles Severo | Physician Assistant | 112 Quarry Road, Suite 400, Trumbull, CT 06611-4816 | 2016-06-16 |
| 1659519783 | Mona Copeland | Physician Assistant | 6111 Avalon Gates, Trumbull, CT 06611-5818 | 2009-01-28 |
| 1851585905 | Elizabeth Susan Hricik | Physician Assistant | 11 Moorland Rd, Trumbull, CT 06611-3823 | 2007-08-31 |
| 1659581577 | Kristin Lynn Schmitt | Physician Assistant | 5520 Park Avenue, Suite 208, Trumbull, CT 06611 | 2007-05-22 |
| 1013403682 | Stephanie Katherine Gohlsch | Physician Assistant | 888 White Plains Rd Ste 105&106, Trumbull, CT 06611-4552 | 2018-07-07 |
| 1154834786 | Jordan Marcou | Physician Assistant | 5520 Park Ave, Trumbull, CT 06611 | 2017-11-06 |
| 1427446970 | Lauren Marie Freer | Physician Assistant | 112 Quarry Rd, Suite 250, Trumbull, CT 06611-4848 | 2015-01-07 |
| 1609062603 | Carrie Ann Rossi | Physician Assistant | 888 White Plains Rd Ste 106, Trumbull, CT 06611-4552 | 2007-09-24 |
| 1518992437 | April B Umek | Physician Assistant | 965 White Plains Rd, Trumbull, CT 06611-4566 | 2006-07-11 |
| Find all providers in TRUMBULL | ||||
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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.