MS. AMANDA BETH TINI (NPI# 1427177526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427177526 |
Entity Type | Individual |
Full Name | MS. AMANDA BETH TINI |
Credential | APRN |
Practice Address |
763 Burnside Ave East Hartford CT 06108-2791 |
Practice Telephone | 8602919787 |
Practice Fax Number | 8602919728 |
Mailing Telephone | 8602919787 |
Mailing Fax Number | 8602919728 |
Enumeration Date | 2007-03-28 |
Last Update Date | 2015-08-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
002648 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
763 BURNSIDE AVE |
City | EAST HARTFORD |
State | CT |
Zip Code | 06108-2791 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023504875 | Sarah Cabahug | Clinic/Center | 763 Burnside Ave, East Hartford, CT 06108-2791 | 2018-07-05 |
1942758453 | Natasha M Stewart | Clinic/Center | 763 Burnside Ave, East Hartford, CT 06108-2791 | 2016-09-13 |
1144630948 | Lori Gallon | Dental Hygienist | 763 Burnside Ave, East Hartford, CT 06108-2791 | 2014-05-01 |
1487099370 | Melissa Calcasola | Social Worker | 763 Burnside Ave, East Hartford, CT 06108-2791 | 2013-05-06 |
1174876544 | Jeanette Rita Riquier | Dental Hygienist | 763 Burnside Ave, East Hartford, CT 06108-2791 | 2012-10-22 |
1538460407 | Tracy L Kunkel | Nurse Practitioner | 763 Burnside Ave, Unit 5, East Hartford, CT 06108-2791 | 2010-11-09 |
1841506342 | Rachel Marcus | Social Worker | 763 Burnside Ave, East Hartford, CT 06108-2791 | 2010-08-23 |
1013124270 | Joanne Jones Mcfee | Dentist | 763 Burnside Ave, East Hartford, CT 06108-2791 | 2007-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003437435 | Decent Homecare Services LLC | Homemaker | 527 Burnside Avenue, Suite 1, East Hartford, CT 06108 | 2020-04-27 |
1164055810 | First Choice Health Center Inc | Durable Medical Equipment & Medical Supplies | 110 Connecticut Blbd, East Hartford, CT 06108 | 2020-02-20 |
1457848731 | Heavenly Care LLC | Home Health | 35 Greene Terrace, East Hartford, CT 06108 | 2018-04-22 |
1750894275 | Thamara Vanessa Jonathas | Nurse Practitioner | 477 Connecticut Blvd Ste 119, East Hartford, CT 06108 | 2017-11-06 |
1851802474 | Empathic Care Counseling LLC | Counselor | 357 East Center Street, Manchester, CT 06108 | 2017-10-23 |
1235654427 | Kacey Megquier | Specialist/Technologist | 132 Arbutus Street, East Hartford, CT 06108 | 2017-08-08 |
1225559826 | First Choice Health Centers, Inc. | Clinic/Center | 809 Main Street, East Hartford, CT 06108 | 2017-07-05 |
1205361599 | Freda Osei-parker | Pharmacist | 16a Saint Regis Street, East Hartford, CT 06108 | 2017-04-25 |
1831648740 | Marcia Loving Care Home Care Agency | Home Health | 23 Bidwell Street, East Hartford, CT 06108 | 2016-10-04 |
1770932642 | First Choice Health Centers, Inc. | Clinic/Center | 92 Connecticut Boulevard, East Hartford, CT 06108 | 2016-06-10 |
Find all providers in zip 06108 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477065035 | Nada Mowlood | Nurse Practitioner | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2017-11-03 |
1700249877 | Liana R Tierney | Nurse Practitioner | 94 Connecticut Blvd, East Hartford, CT 06108-3013 | 2016-04-05 |
1568710192 | Amma Darko | Nurse Practitioner | 110 Connecticut Blvd, East Hartford, CT 06108-3057 | 2012-08-29 |
1538460407 | Tracy L Kunkel | Nurse Practitioner | 763 Burnside Ave, Unit 5, East Hartford, CT 06108-2791 | 2010-11-09 |
1700898764 | East Hartford Pediatric, LLC. | Nurse Practitioner | 893 Main St, Suite 303, East Hartford, CT 06108-2292 | 2006-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447878855 | Ashley Elusma | Nurse Practitioner | 92 New London Tpke # 1, Norwich, CT 06360-2616 | 2020-07-13 |
1396382792 | Jessca Morcone | Nurse Practitioner | 640 Brookside Dr, Fairfield, CT 06824-2419 | 2019-12-04 |
1790337137 | Elizabeth R Renker | Nurse Practitioner | 97 Barnes Rd Ste 6, Wallingford, CT 06492-1885 | 2019-07-16 |
1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
1487180840 | Meghan Mccarthy Warzoha | Nurse Practitioner | 2001 W Main St Ste 132, Stamford, CT 06902-4544 | 2017-05-04 |
1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
1740602515 | Smart Start Pediatrics | Nurse Practitioner | 27 Sycamore St., Suite 300, Glastonbury, CT 06033 | 2014-01-14 |
1780013102 | Elizabeth Anavy | Nurse Practitioner | 195 Hillandale Ave, Stamford, CT 06902-2823 | 2013-11-06 |
1174951669 | Bela Kirit Dharia | Nurse Practitioner | 55 Lock Street, Yale Health, New Haven, CT 06511-3603 | 2013-10-22 |
Find all providers with the same taxonomy |
City | EAST HARTFORD |
Zip Code | 06108 |
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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.