SHARON E DURIVAGE (NPI# 1407033442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407033442 |
| Entity Type | Individual |
| Full Name | SHARON E DURIVAGE |
| Credential | APRN-BC |
| Practice Address |
303 Church St Guilford CT 06437-2468 |
| Practice Telephone | 2036895307 |
| Practice Fax Number | 2036895803 |
| Mailing Telephone | 2036895307 |
| Mailing Fax Number | 2036895803 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2012-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
26NJ00150200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
004454 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
303 CHURCH ST |
| City | GUILFORD |
| State | CT |
| Zip Code | 06437-2468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326017344 | Deborah Foster | Social Worker | 303 Church St, Rear Building Unit 2, Guilford, CT 06437-2468 | 2006-03-14 |
| 1083227334 | Whole Heart Art Therapy & Creative Counseling | Counselor | 303 Church St, Guilford, CT 06437-2468 | 2020-08-26 |
| 1659824803 | Megan Warner Phd LLC | Psychologist | 303 Church St, Suite 4, Guilford, CT 06437-2468 | 2016-07-24 |
| 1013329200 | Ashley Hines | Counselor | 303 Church St, Guilford, CT 06437-2468 | 2014-05-22 |
| 1710280862 | Michael F Bower | Counselor | 303 Church St, Guilford, CT 06437-2468 | 2010-12-13 |
| 1326118118 | Ashley Warner | Social Worker | 303 Church St, Ste 2, Guilford, CT 06437-2468 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012148 | Guilford Holistic Health Practitioners, LLC | Clinic/Center | 5 Durham Rd Ste B6, Guilford, CT 06437 | 2018-08-10 |
| 1043738594 | Stephanie Rose Weady | Physical Therapist | 753 Boston Post Road Suite 101, Guilford, CT 06437 | 2017-09-05 |
| 1104221019 | Holistic Psychotherapy | Social Worker | 35 Boston St., Guilford, CT 06437 | 2014-11-04 |
| 1083030332 | Frank Edward West | Marriage & Family Therapist | 17 E. River Rd, Guilford, CT 06437 | 2014-03-11 |
| 1063845188 | Stephanie Gerrish O'sullivan | Health Educator | 623 Village Walk, Guilford, CT 06437 | 2013-08-13 |
| 1205279247 | Jared Macklin | Internal Medicine | 800 Boston Post Rd Ste 201, Guilford, CT 06437 | 2013-04-09 |
| 1821364019 | Elan Gorshein | Internal Medicine | Yale-new Haven Shoreline Medical Center, 111 Goose Lane, Suite 1300, Guilford, CT 06437 | 2012-04-01 |
| 1740411396 | Denise Lewis Roberts | Social Worker | 2 Guile Road, Guilford, CT 06437 | 2009-07-30 |
| 1487882437 | Bryce E Mcmanus | Chiropractor | 133 State Street, Guilford, CT 06437 | 2009-06-29 |
| 1215139654 | Eleanor D Weissberg | Pediatrics | 64 Prospect Ave, Guilford, CT 06437 | 2007-06-05 |
| Find all providers in zip 06437 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437394335 | Susan Moore | Clinical Nurse Specialist | 99 Whitfield St, Guilford, CT 06437-3429 | 2008-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750777827 | Janice P. Holmes | Clinical Nurse Specialist | 87 Georges Ln, Monroe, CT 06468-3138 | 2015-04-15 |
| 1336556513 | Deborah S Greene Aprn LLC | Clinical Nurse Specialist | 760 Hopmeadow St, Box 813, Simsbury, CT 06070-2223 | 2014-07-19 |
| 1053626929 | Madonna Kay Fasula | Clinical Nurse Specialist | 100 York St Ste 2j, New Haven, CT 06511-5664 | 2010-08-16 |
| 1396900270 | Annmarie Bernier | Clinical Nurse Specialist | 19 Nursery Dr, West Hartford, CT 06117-2737 | 2008-07-21 |
| 1003934282 | Christopher E Allen | Clinical Nurse Specialist | 71 East Avenue, Ste F, Norwalk, CT 06851-4903 | 2007-03-27 |
| 1417085465 | Mary F Scully | Clinical Nurse Specialist | 29 Shadow Ln, West Hartford, CT 06110-1641 | 2007-03-01 |
| 1609971696 | Christopher John Kochis | Clinical Nurse Specialist | 998 Farmington Ave, Suite 123, West Hartford, CT 06107-2162 | 2006-09-14 |
| 1922022359 | Susan M. James | Clinical Nurse Specialist | 147 Durham Rd, Oak Park, Madison, CT 06443-2675 | 2006-07-27 |
| 1508883588 | Donna Humeston Hoskins | Clinical Nurse Specialist | 22 Upper Main St, Sharon, CT 06069-2083 | 2006-07-16 |
| 1013956366 | Katherine M. Nichols | Clinical Nurse Specialist | 75 Swantown Hl, Stonington Institute, North Stonington, CT 06359-1022 | 2006-06-05 |
| Find all providers with the same taxonomy | ||||
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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.