DOMENICK BIANCHI (NPI# 1407318637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407318637 |
| Entity Type | Individual |
| Full Name | DOMENICK BIANCHI |
| Credential | APRN |
| Practice Address |
201 Chestnut Hill Rd Stafford Springs CT 06076-4005 |
| Mailing Address |
103 Stafford St Stafford Springs CT 06076-4336 |
| Practice Telephone | 4134556638 |
| Mailing Telephone | 4134556638 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
8139 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
201 CHESTNUT HILL RD |
| City | STAFFORD SPRINGS |
| State | CT |
| Zip Code | 06076-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925591 | Paul Harvey Cooke | Anesthesiology | 201 Chestnut Hill Rd, Department of Anesthesia, Stafford Springs, CT 06076-4005 | 2005-07-11 |
| 1093324295 | Stephanie Tullock | Social Worker | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2020-07-24 |
| 1023585684 | Lovelyn Natasha Bogle | Social Worker | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2018-10-31 |
| 1467976084 | Amanda Wilson | Physician Assistant | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2017-07-26 |
| 1629455654 | Olayemi Ajayi-lamanna | Surgery | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2015-04-28 |
| 1124367743 | Somers Anesthesiology Associates | Nurse Anesthetist, Certified Registered | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-9925 | 2013-02-01 |
| 1639482573 | Shawn Richard Brady | Physician Assistant | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2010-07-21 |
| 1720315047 | Laura Marie Kielb | Emergency Medical Technician, Basic | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2009-11-06 |
| 1720214034 | Johnson Medical Specialists, PC | Obstetrics & Gynecology | 201 Chestnut Hill Rd, Attn: Lori Ladue, Stafford Springs, CT 06076-4005 | 2009-06-02 |
| 1649418575 | Echn Johnson Memorial Hospital, Inc. | Psychiatric Unit | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2009-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306465703 | Kimberly Maine Garrity | Social Worker | 56 Boyer Rd., Stafford Springs, CT 06076 | 2020-04-15 |
| 1912490202 | Lori Anne Belmont | Pharmacist | 87 W Stafford Rd, Stafford Springs, CT 06076 | 2018-06-11 |
| 1649656422 | Vernon E. Percy | Counselor | 25 Clearview Drive, Stafford Springs, CT 06076 | 2015-08-04 |
| 1952660854 | Kris Best | Mechanotherapist | 8 Middle River Drive, Body By Design Fitness Center, Stafford Springs, CT 06076 | 2012-05-11 |
| 1952689945 | Terry M. Eccles, Md, LLC | Nurse Practitioner | 72-ll West Stafford Road, Stafford Springs, CT 06076 | 2011-07-26 |
| 1063698090 | Christine B Anthony | Physical Therapist | 58a West Stafford Road, Stafford Springs, CT 06076 | 2008-01-22 |
| 1043421068 | Big Y Foods, Inc. | Durable Medical Equipment & Medical Supplies | 87-c West Stafford Springs Plaza, Route 190, Stafford Springs, CT 06076 | 2007-05-24 |
| 1922179340 | Stafford Dental Associates LLC | Dentist | 72 I West Stafford Road, Stafford Springs, CT 06076 | 2006-11-10 |
| 1447346010 | Andrea Estell | Counselor | 12 Lawson Rd., Union, CT 06076 | 2006-10-04 |
| 1811097249 | Maxi Drug Inc | Pharmacy | 87 C W Stafforoad Springs Road, Stafford Springs, CT 06076 | 2006-09-25 |
| Find all providers in zip 06076 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004469 | Joseph A Sarkis | Nurse Practitioner | 34 Blackwells Lndg, Brooklyn, CT 06234-2444 | 2020-05-15 |
| 1720543960 | Lia Sgambato | Nurse Practitioner | 263 Farmington Ave # 2875, Farmington, CT 06030-0001 | 2019-02-01 |
| 1588136295 | Tao Wang | Nurse Practitioner | 38 Michele Dr, Portland, CT 06480-1013 | 2018-12-19 |
| 1114417847 | Jennifer Lynn Trocola | Nurse Practitioner | 63 Myano Ln Apt 6, Stamford, CT 06902-4500 | 2018-05-17 |
| 1386178093 | Janine Brooks | Nurse Practitioner | 47 Elmridge Rd, Pawcatuck, CT 06379-1234 | 2017-04-19 |
| 1639622962 | Joshua N Alderman | Nurse Practitioner | 353 Main St Ste 2, Manchester, CT 06040-4145 | 2016-08-03 |
| 1508224437 | Sheldon Leigh Stock | Nurse Practitioner | 701 Cottage Grove Rd Ste B220, Bloomfield, CT 06002-3077 | 2016-02-06 |
| 1548636673 | Cheryl Pappas | Nurse Practitioner | 111 Salem Tpke Ste 8, Norwich, CT 06360-7403 | 2015-08-12 |
| 1265780894 | Annetta Ruth Troche | Nurse Practitioner | 22 Parkwood Drive, Windsor, CT 06095 | 2012-08-29 |
| 1609122787 | Jaimme Lee Franson | Nurse Practitioner | 324 Elm St Suite 202b, Monroe, CT 06468 | 2012-07-26 |
| Find all providers with the same taxonomy | ||||
| City | STAFFORD SPRINGS |
| Zip Code | 06076 |
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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.