DR. JACQUELYN LISA KOS (NPI# 1386750156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386750156 |
| Entity Type | Individual |
| Full Name | DR. JACQUELYN LISA KOS |
| Credential | DC |
| Practice Address |
999 Foxon Rd Unite 8 North Branford CT 06471 |
| Practice Telephone | 2034847579 |
| Practice Fax Number | 2034842686 |
| Mailing Telephone | 2034847579 |
| Mailing Fax Number | 2034842686 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CT000885 | CT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | HEALTHNET | 948313 | 01 |
| CT | 4112710 | 05 | |
| CT | ANTHEM | 050000885CT04 | 01 |
| CT | CTCARE OUT OF NETWORK | 760513 | 01 |
| CT | OXFORD | P122567 | 01 |
| CT | AETNA | 532967 | 01 |
| Street Address |
999 FOXON RD UNITE 8 |
| City | NORTH BRANFORD |
| State | CT |
| Zip Code | 06471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619186574 | Branford North Branford Pediatrics,pc | Nurse Practitioner | 999 Foxon Rd, North Branford, CT 06471-1287 | 2007-05-21 |
| 1447471859 | Ann Jennings Maley | Pediatrics | 999 Foxon Rd, North Branford, CT 06471-1287 | 2007-05-01 |
| 1134251689 | Jennifer M Carlson | Nurse Practitioner | 999 Foxon Rd, Suite 36, North Branford, CT 06471-1287 | 2007-03-11 |
| 1942362652 | Alanna Coughlin | Pediatrics | 999 Foxon Rd, North Branford, CT 06471-1287 | 2006-12-16 |
| 1033212469 | Richard Francis Whelan | Specialist | 999 Foxon Rd, Suite 36, North Branford, CT 06471-1287 | 2006-09-07 |
| 1447361084 | Suzanne Ivie | Chiropractor | 999 Foxon Rd, Unit 8, North Branford, CT 06471-1287 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154646438 | Donielle Didiano | Social Worker | 201 Branford Rd, North Branford, CT 06471 | 2010-03-30 |
| 1982887030 | Big Y Foods Inc | Durable Medical Equipment & Medical Supplies | 1289 Foxon Road, Route 80, North Branford, CT 06471 | 2007-12-12 |
| 1790980175 | Kos Chiropractic Center Dc PC | Chiropractor | 999 Foxon Road Suite 8, North Branford, CT 06471 | 2007-06-18 |
| 1588761225 | Melinda L Lazarus | Social Worker | 53 Cedar Lake Rd, North Branford, CT 06471 | 2006-09-17 |
| 1689788580 | Town North Branford Counseling Services | Social Worker | 1599 Foxon Road, North Branford, CT 06471-0287 | 2006-08-18 |
| 1750786463 | Jorge Luis Camejo II | Counselor | 17 Jay Pl, North Branford, CT 06471-1009 | 2014-10-24 |
| 1154731479 | Stacey Lynn Schofield | Specialist/Technologist | 49 Caputo Rd, North Branford, CT 06471-1028 | 2014-05-08 |
| 1801424635 | Gina Mentone | Specialist/Technologist | 22 Wood Chase Ln, North Branford, CT 06471-1054 | 2020-03-28 |
| 1225235088 | Lenore Shapiro | Physical Therapist | 635 Foxon Rd, North Branford, CT 06471-1127 | 2007-06-27 |
| 1275016362 | Hannah Isacson D.c. LLC | Clinic/Center | 635 Foxon Rd, North Branford, CT 06471-1127 | 2018-09-13 |
| Find all providers in zip 06471 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053723940 | North Branford Family Chiropractic and Wellness Center LLC | Chiropractor | 2429 Foxon Rd, North Branford, CT 06471-4503 | 2014-05-27 |
| 1881189744 | Hannah Isacson | Chiropractor | 635 Foxon Rd, North Branford, CT 06471-1127 | 2018-06-24 |
| 1447361084 | Suzanne Ivie | Chiropractor | 999 Foxon Rd, Unit 8, North Branford, CT 06471-1287 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528695830 | Michael J Solla | Chiropractor | 1901 Cypress Dr, Danbury, CT 06811-2684 | 2020-03-25 |
| 1477184760 | Alexis Kantor | Chiropractor | 45 Harbor Dr, Stamford, CT 06902-7405 | 2020-01-27 |
| 1194365239 | Jacob Riley Calder | Chiropractor | 71 Bradley Rd Unit 5, Madison, CT 06443-2662 | 2020-01-07 |
| 1508404286 | Kevin Lennehan | Chiropractor | 300 Alumni Rd, Newington, CT 06111-1868 | 2019-12-13 |
| 1114565033 | David Craig Waltzer | Chiropractor | 132 Federal Rd Ste 103, Danbury, CT 06811-4099 | 2019-12-11 |
| 1700434800 | Nadine Weingarten | Chiropractor | 399 Cascade Rd, Stamford, CT 06903-3029 | 2019-09-01 |
| 1356996250 | Astrid Aime Baldrich-sanchez | Chiropractor | 22 Pine St Ste 216, Bristol, CT 06010-6950 | 2019-08-07 |
| 1275187833 | Kena Aiden Mcdermott | Chiropractor | 1216 Farmington Ave Ste 304, West Hartford, CT 06107-2673 | 2019-07-31 |
| 1821640368 | R Mark Pappas, LLC | Chiropractor | 502 Main Street, West Haven, CT 06516-7307 | 2019-07-15 |
| 1740832963 | Tyler Van Steenbergen | Chiropractor | 9 Sharon Rd, Lakeville, CT 06039-2107 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BRANFORD |
| Zip Code | 06471 |
Please comment or provide details below to improve the information on DR. JACQUELYN LISA KOS.
| 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.