MS. LORI A USTICO (NPI# 1467586412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467586412 |
| Entity Type | Individual |
| Full Name | MS. LORI A USTICO |
| Credential | BOC ABC CERTIFIED |
| Practice Address |
170 Railroad St Canaan CT 06018-2011 |
| Practice Telephone | 8608247510 |
| Practice Fax Number | 8666861517 |
| Mailing Telephone | 8608247510 |
| Mailing Fax Number | 8666861517 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
D16532 BOC | CT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BLUE CROSS PROVIDER NUMBE | 12DME0614CT01 | 01 |
| CT | AETNA PROVIDER NUMBER | 2733042 | 01 |
| Street Address |
170 RAILROAD ST |
| City | CANAAN |
| State | CT |
| Zip Code | 06018-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811166564 | Lorraine Ustico | Durable Medical Equipment & Medical Supplies | 170 Railroad St, Canaan, CT 06018-2011 | 2008-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780038331 | Lisa Beth Westerson | Social Worker | 187 South Canaan Road, Canaan, CT 06018 | 2016-04-20 |
| 1245609361 | Chelsi Flood | Counselor | 187 South Canaan Rd, Canaan, CT 06018 | 2015-09-18 |
| 1437539434 | Karen Browning | Physical Therapist | 99 South Canaan Rd, Canaan, CT 06018 | 2015-06-04 |
| 1366871147 | Sophia Hartell | Acupuncturist | Route 7, Box 717, Canaan, CT 06018 | 2013-11-02 |
| 1083883177 | Mountainside Treatment Center | Substance Abuse Rehabilitation Facility | 187 Route 7, Canaan, CT 06018 | 2008-02-22 |
| 1962527762 | Thomas Livingstone | Dentist | 3 Railroad St., Canaan, CT 06018 | 2007-03-20 |
| 1396271557 | Joycelyn Faraj | Dietitian, Registered | Route 7, Box 717, Canaan, CT 06018 | 2017-05-10 |
| 1023423399 | Housatonic Valley Dental Care | Clinic/Center | 60 Church Street, Canaan, CT 06018 | 2014-06-25 |
| 1205049392 | Donald T Martin | Dentist | 100 Main Street, Canaan, CT 06018 | 2007-05-07 |
| 1326128331 | Jane Erin Simonds | Physical Therapist | 99 South Canaan Road, Canaan, CT 06018 | 2006-10-16 |
| Find all providers in zip 06018 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144852377 | Sonia Maria Barbosa | Specialist | 70 Woolson St, Watertown, CT 06795-2229 | 2020-02-05 |
| 1184270894 | Indigo Hair Innovations LLC | Specialist | 641 New Park Ave, West Hartford, CT 06110-1318 | 2019-08-18 |
| 1811467442 | Joseph C Gaetani Jr. | Specialist | 340 Broad Street Suite 320, Windsor, CT 06095 | 2018-11-27 |
| 1063849057 | Maureen Pavelski | Specialist | 313 Flanders Rd, East Lyme, CT 06333-1711 | 2013-10-04 |
| 1063760064 | Rochelle Powell | Specialist | 1856 Seaview Ave, Bridgeport, CT 06610-2731 | 2012-08-22 |
| 1407036908 | Domenica Freda | Specialist | 760 Boston Post Rd, Milford, CT 06460-2640 | 2007-11-13 |
| 1235281122 | John Christian Marcucci | Specialist | 4007 Main St, Bridgeport, CT 06606-2707 | 2007-01-18 |
| 1235665977 | Tamika Gordon | Specialist | 33 Bernhard Rd, North Haven, CT 06473-3900 | 2017-05-01 |
| 1922356112 | Kisha K Council | Specialist | 411 E Main St, Bridgeport, CT 06608-2326 | 2012-08-21 |
| 1639193386 | Louis M Perrotta | Specialist | 141 Dowd Ave, Canton, CT 06019-2401 | 2006-07-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. LORI A USTICO.
| 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.