WILLIE LLERA (NPI# 1407343916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407343916 |
| Entity Type | Individual |
| Full Name | WILLIE LLERA |
| Practice Address |
133 Oakland Pl Stratford CT 06615-5623 |
| Practice Telephone | 2036120701 |
| Mailing Telephone | 2036120701 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
133 OAKLAND PL |
| City | STRATFORD |
| State | CT |
| Zip Code | 06615-5623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154713832 | Lauren Pessin | Behavioral Analyst | 55 Sutton Ave, Stratford, CT 06615 | 2015-03-04 |
| 1801223748 | Steven Flathers | Occupational Therapist | 27 Eunice Parkway, Stratford, CT 06615 | 2013-10-10 |
| 1700219243 | Stratford Orthodontics | Dentist | 2499 Main Street, Stratford, CT 06615 | 2013-08-20 |
| 1417380981 | Debra L Tomaselli | Marriage & Family Therapist | 2296 Main Street, 2nd Floor, Stratford, CT 06615 | 2013-08-19 |
| 1003199217 | Katherine Bajda | Nurse Practitioner | 837 Prospect Drive, Stratford, CT 06615 | 2011-09-23 |
| 1336326495 | Dammy Bamisile | Social Worker | 100 Center Street, Shelton, CT 06615 | 2008-01-30 |
| 1487868550 | Mark Rabin | Medical Genetics, Ph.D. Medical Genetics | Dianon Systems, 200 Watson Boulevard, Stratford, CT 06615 | 2007-05-09 |
| 1205958675 | Sophia Leonida M.d., PC | Clinic/Center | 2505 Main St., Stratford, CT 06615 | 2007-04-04 |
| 1558488213 | Fatima Eslami-varzaneh | Pathology | 200 Watson Boulvard, Stratford, CT 06615 | 2007-03-26 |
| 1881729804 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 555 Lordship Boulevard, Stratford, CT 06615 | 2007-02-22 |
| Find all providers in zip 06615 | ||||
| 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 |
|---|---|---|---|---|
| 1780209684 | Emily Lacount | Student in an Organized Health Care Education/Training Program | Louis Balsama, D.o., Program Director, Rowansom 42 E. Laurel Rd, Stratford, NJ 08084 | 2020-06-16 |
| 1871118935 | Duwayne George Campbell | Student in an Organized Health Care Education/Training Program | 18 E Laurel Rd Ste 2100a, Stratford, NJ 08084-1327 | 2020-06-14 |
| 1982229241 | Melissa Jelaso | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd Ste 3600, Stratford, NJ 08084-1354 | 2020-06-12 |
| 1326677923 | Carly Margaret Fabbri | Student in an Organized Health Care Education/Training Program | 165 Butternut Ln, Stratford, CT 06614-2457 | 2020-04-06 |
| 1558922153 | Nicholas James Minissale | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 172, Stratford, NJ 08084-1500 | 2019-06-25 |
| 1326606435 | Stephanie Kwan | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 146, Stratford, NJ 08084-1500 | 2019-06-04 |
| 1053979674 | Stephen Robert Kruger | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd Ste 2001a, Stratford, NJ 08084-1354 | 2019-05-29 |
| 1598321788 | Sylvia Orozco Silberman | Student in an Organized Health Care Education/Training Program | Fm: Alison Mancuso, Do, Prog Dir, Rowansom 42 E Laurel Road, Suite 2100a, Stratford, NJ 08084 | 2019-05-14 |
| 1063906345 | Tania Maheshwari | Student in an Organized Health Care Education/Training Program | 42 E Laurel Rd # 2100a, Stratford, NJ 08084-1354 | 2018-06-19 |
| 1831682939 | Shriya Jakkidi Reddy | Student in an Organized Health Care Education/Training Program | Rowansom 42 E. Laurel Road, Suite 3100, Stratford, NJ 08084 | 2018-06-13 |
| Find all providers in STRATFORD | ||||
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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.