MRS. DANIELLE LAUREN FORMA (NPI# 1407323512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407323512 |
| Entity Type | Individual |
| Full Name | MRS. DANIELLE LAUREN FORMA |
| Practice Address |
120 East Ave Ste 2 Norwalk CT 06851-5703 |
| Practice Telephone | 2037509711 |
| Practice Fax Number | 2037509651 |
| Mailing Telephone | 2037509711 |
| Mailing Fax Number | 2037509651 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |
| 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 |
120 EAST AVE STE 2 |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811426596 | Jennifer Ellis Mcnamara | Social Worker | 120 East Ave Ste 2, Norwalk, CT 06851-5703 | 2017-06-07 |
| 1346882438 | Samantha Curt | Counselor | 120 East Ave Ste 2, Norwalk, CT 06851-5703 | 2019-10-10 |
| 1184280588 | Alexandra Andre | Student in an Organized Health Care Education/Training Program | 120 East Ave Ste 2, Norwalk, CT 06851-5703 | 2019-05-13 |
| 1518434778 | Elana J Yaghsizian | Student in an Organized Health Care Education/Training Program | 120 East Ave Ste 2, Norwalk, CT 06851-5703 | 2018-10-25 |
| 1568961290 | Malinda M Johnson | Student in an Organized Health Care Education/Training Program | 120 East Ave Ste 2, Norwalk, CT 06851-5703 | 2018-02-08 |
| 1063925428 | Jodie Rinde | Student in an Organized Health Care Education/Training Program | 120 East Ave Ste 2, Norwalk, CT 06851-5703 | 2017-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
| 1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
| 1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
| 1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
| 1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
| 1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
| 1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
| Find all providers in zip 06851 | ||||
| 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 |
|---|---|---|---|---|
| 1851917561 | Ryan Halloran | Student in an Organized Health Care Education/Training Program | 8 Apple St, Norwalk, CT 06851-4104 | 2020-06-18 |
| 1174188379 | Lynsey Michelle Schraeder | Student in an Organized Health Care Education/Training Program | 52 Wolfpit Ave Apt 1a, Norwalk, CT 06851-4206 | 2019-05-03 |
| 1962986844 | Thu M Hoang | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd Ste 3010, Norwalk, CA 90650-4328 | 2018-09-18 |
| 1588182596 | Graham Martin | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Ave, Suite 3020, Norwalk, CA 90065-9331 | 2017-08-30 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1588033799 | Aida Pelayo | Student in an Organized Health Care Education/Training Program | 12415 Imperial Hwy, Unit 49, Norwalk, CA 90650-3100 | 2015-09-17 |
| 1508249335 | Jaime Leahy | Student in an Organized Health Care Education/Training Program | 34 Maple Stree, Norwalk, CT 06856 | 2015-06-29 |
| Find all providers in NORWALK | ||||
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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.