DR. ANDREE DE LISSER (NPI# 1487107421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487107421 |
| Entity Type | Individual |
| Full Name | DR. ANDREE DE LISSER |
| Practice Address |
24 Hospital Ave Danbury Hospital Psychiatry Danbury CT 06810 |
| Mailing Address |
29 Dogwood Ct Goldens Bridge NY 10526-1115 |
| Practice Telephone | 9149073127 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2018-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364S00000X | Clinical Nurse Specialist | 4626 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
004626 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24 HOSPITAL AVE DANBURY HOSPITAL PSYCHIATRY |
| City | DANBURY |
| State | CT |
| Zip Code | 06810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526933 | Timothy Hendrie | Nurse Anesthetist, Certified Registered | 24 Hospital Ave, Danbury, CT 06810-6099 | 2005-05-24 |
| 1144837493 | Xavian Terrence Shaw Jr. | Registered Nurse | 24 Hospital Ave, Danbury, CT 06810-6077 | 2020-09-29 |
| 1275141624 | Megan Mirgorodsky | Dietitian, Registered | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-07-21 |
| 1053939348 | Kristen Liederbach | Nurse Anesthetist, Certified Registered | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-07-13 |
| 1558988170 | Robynne M. Pivec Quinn | Counselor | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-06-30 |
| 1891318200 | Benjamin Striano | Speech-Language Pathologist | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-05-20 |
| 1407478423 | Danielle Jenna Kupperman | Genetic Counselor, MS | 24 Hospital Ave, Danbury, CT 06810-6077 | 2020-05-13 |
| 1588286801 | Manush Ohanyan | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave, Danbury Hospital, Danbury, CT 06810-6099 | 2020-05-08 |
| 1447871033 | Maun Ranjan Baral | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-05-05 |
| 1124647359 | Kamana Acharya | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave, Danbury, CT 06810-6099 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750777827 | Janice P. Holmes | Clinical Nurse Specialist | 87 Georges Ln, Monroe, CT 06468-3138 | 2015-04-15 |
| 1336556513 | Deborah S Greene Aprn LLC | Clinical Nurse Specialist | 760 Hopmeadow St, Box 813, Simsbury, CT 06070-2223 | 2014-07-19 |
| 1053626929 | Madonna Kay Fasula | Clinical Nurse Specialist | 100 York St Ste 2j, New Haven, CT 06511-5664 | 2010-08-16 |
| 1396900270 | Annmarie Bernier | Clinical Nurse Specialist | 19 Nursery Dr, West Hartford, CT 06117-2737 | 2008-07-21 |
| 1003934282 | Christopher E Allen | Clinical Nurse Specialist | 71 East Avenue, Ste F, Norwalk, CT 06851-4903 | 2007-03-27 |
| 1417085465 | Mary F Scully | Clinical Nurse Specialist | 29 Shadow Ln, West Hartford, CT 06110-1641 | 2007-03-01 |
| 1609971696 | Christopher John Kochis | Clinical Nurse Specialist | 998 Farmington Ave, Suite 123, West Hartford, CT 06107-2162 | 2006-09-14 |
| 1922022359 | Susan M. James | Clinical Nurse Specialist | 147 Durham Rd, Oak Park, Madison, CT 06443-2675 | 2006-07-27 |
| 1508883588 | Donna Humeston Hoskins | Clinical Nurse Specialist | 22 Upper Main St, Sharon, CT 06069-2083 | 2006-07-16 |
| 1013956366 | Katherine M. Nichols | Clinical Nurse Specialist | 75 Swantown Hl, Stonington Institute, North Stonington, CT 06359-1022 | 2006-06-05 |
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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.