ODETTE WHITE EAGLE (NPI# 1497397566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497397566 |
Entity Type | Individual |
Full Name | ODETTE WHITE EAGLE |
Practice Address |
501 Lombard St New Haven CT 06513-2910 |
Practice Telephone | 2037872207 |
Mailing Telephone | 2037872207 |
Enumeration Date | 2019-10-10 |
Last Update Date | 2019-10-10 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
203 High St, Milford, CT 064603250 | 2038746270 |
Street Address |
501 LOMBARD ST |
City | NEW HAVEN |
State | CT |
Zip Code | 06513-2910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285724591 | Christine D. Pawlik | Counselor | 501 Lombard St, New Haven, CT 06513-2910 | 2006-10-15 |
1922668375 | Bryan Patrick Hickey | Social Worker | 501 Lombard St, New Haven, CT 06513-2910 | 2019-06-18 |
1811554504 | Meghan Rose | Counselor | 501 Lombard St, New Haven, CT 06513-2910 | 2019-05-29 |
1003388141 | Sandra Enders | Counselor | 501 Lombard St, New Haven, CT 06513-2910 | 2018-12-31 |
1033689989 | Rebecca Connelly | Counselor | 501 Lombard St, New Haven, CT 06513-2910 | 2018-12-04 |
1194295006 | Janine Laura Hitchens Parker | Social Worker | 501 Lombard St, New Haven, CT 06513-2910 | 2018-12-04 |
1003386939 | Darian Andre Coleman | Counselor | 501 Lombard St, New Haven, CT 06513-2910 | 2018-12-04 |
1861991549 | David Paul Morrissey | Counselor | 501 Lombard St, New Haven, CT 06513-2910 | 2018-02-07 |
1619483450 | Gabor Geza Kautzner | Social Worker | 501 Lombard St, New Haven, CT 06513-2910 | 2017-12-15 |
1033637814 | Aliyah Cummings | Developmental Therapist | 501 Lombard St, New Haven, CT 06513-2910 | 2017-08-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366906141 | Edward Rivera | Case Manager/Care Coordinator | 458 Grand Ave., Suite 103, New Haven, CT 06513 | 2019-01-25 |
1134698442 | Village of Angels Home Health Care LLC | Respite Care | 470 James Street, Suite 007, New Haven, CT 06513 | 2018-11-15 |
1609358068 | Sarah Khalil | Pharmacist | 745 Foxon Road, East Haven, CT 06513 | 2018-09-02 |
1912358375 | Domanice Poindexter | Nurse Practitioner | Caremore Health, 444 Foxon Rd, East Haven, CT 06513 | 2016-06-28 |
1568839876 | My Fair Haven Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Grand Ave, New Haven, CT 06513 | 2015-08-24 |
1871979567 | Sankofa Counseling LLC | Community/Behavioral Health | 64 Thompson St Ste A101, East Haven, CT 06513 | 2015-08-04 |
1578967287 | Curtis Stewart | Pharmacy Technician | 661 Thompson Street, East Haven, CT 06513 | 2014-10-09 |
1548686322 | Davis Group LLC | Social Worker | 30 Grand Ave, New Haven, CT 06513 | 2014-03-17 |
1124459615 | James Lucas IIi | Dietitian, Registered | 167 Old Foxon Road, Unit 30b, New Haven, CT 06513 | 2013-12-09 |
1609206135 | Spretha Kadavath | Dentist | 50 Grand Ave, New Haven, CT 06513 | 2013-11-19 |
Find all providers in zip 06513 |
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 |
---|---|---|---|---|
1861019689 | Mallori Wisuri | Student in an Organized Health Care Education/Training Program | 14505 Old 24 E, New Haven, IN 46774-9013 | 2020-06-27 |
1952920019 | Nazli Dizman | Student in an Organized Health Care Education/Training Program | 20 York St Tompkins 226, New Haven, CT 06510-3220 | 2020-04-09 |
1972132314 | Ross David Logan | Student in an Organized Health Care Education/Training Program | 20 York St Ste 226, New Haven, CT 06510-3220 | 2020-04-07 |
1194354043 | Christian Keene | Student in an Organized Health Care Education/Training Program | 625 Orange St Apt 43, New Haven, CT 06511-3840 | 2020-04-03 |
1639706146 | Kevin Jiang | Student in an Organized Health Care Education/Training Program | 330 Orchard St Ste 207, New Haven, CT 06511-4429 | 2020-03-25 |
1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
1275166407 | Joshua Braden | Student in an Organized Health Care Education/Training Program | 32277 Salt River Cir N, New Haven, MI 48048-3331 | 2020-02-17 |
1871125401 | Taylor Alexandra Babin | Student in an Organized Health Care Education/Training Program | 166 Hall St, New Haven, CT 06512-3148 | 2020-02-11 |
1952962649 | Su Jung Kim | Student in an Organized Health Care Education/Training Program | 111 Park St Apt 12t, New Haven, CT 06511-5421 | 2019-06-24 |
1144880691 | Durga Thakral | Student in an Organized Health Care Education/Training Program | 367 Cedar St Ste 317, New Haven, CT 06510-3222 | 2019-06-17 |
Find all providers in NEW HAVEN |
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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.