MS. JUDITH ANN DESHPANDE (NPI# 1528008489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528008489 |
| Entity Type | Individual |
| Full Name | MS. JUDITH ANN DESHPANDE |
| Credential | APRN-BC |
| Practice Address |
300 Boston Post Rd Attn: Health Services West Haven CT 06516-1916 |
| Practice Telephone | 2039327079 |
| Practice Fax Number | 2039316090 |
| Mailing Telephone | 2039327079 |
| Mailing Fax Number | 2039316090 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2015-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
002853 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONNECTICARE | 020853 | 01 |
| CT | OXFORD | A752119 | 01 |
| CT | BLUE CROSS BLUE SHIELD | 400002853CT01 | 01 |
| CT | 004251857 | 05 | |
| CT | UNITED HEALTHCARE | 223514271 | 01 |
| CT | HEALTHNET | 2V4674 | 01 |
| Street Address |
300 BOSTON POST RD ATTN: HEALTH SERVICES |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437119773 | Jeffrey P Shanley | Specialist/Technologist | 300 Boston Post Rd, Charger Gymnasium, West Haven, CT 06516-1916 | 2006-03-23 |
| 1942809512 | Emily Jordan Kopas | Nurse Practitioner | 300 Boston Post Rd, West Haven, CT 06516-1999 | 2020-10-23 |
| 1669967659 | Ashley Nicole Roe | Specialist/Technologist | 300 Boston Post Rd, West Haven, CT 06516-1916 | 2018-06-22 |
| 1831531334 | Linda L. Maxwell | Nurse Practitioner | 300 Boston Post Rd, University of New Haven, West Haven, CT 06516-1916 | 2013-07-24 |
| 1700065646 | Carolyn Patenaude | Dental Hygienist | 300 Boston Post Rd, West Haven, CT 06516-1916 | 2007-10-29 |
| 1457530461 | Angelina Petonito | Dental Hygienist | 300 Boston Post Rd, West Haven, CT 06516-1916 | 2007-10-25 |
| 1952580169 | Stacy Maslar | Dental Hygienist | 300 Boston Post Rd, West Haven, CT 06516-1916 | 2007-10-24 |
| 1942412259 | Deborah Everhart | Psychologist | 300 Boston Post Rd, Counseling Center, West Haven, CT 06516-1916 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102147 | Margaret Guerrero | Nurse Practitioner | 49 Overlook Ave, West Haven, CT 06516-6424 | 2020-04-15 |
| 1790331361 | Christine Creen | Nurse Practitioner | 950 Campbell Ave # Coe, West Haven, CT 06516-2770 | 2019-08-09 |
| 1942853957 | Bianca Shuster | Nurse Practitioner | 755 Campbell Ave Ste 1, West Haven, CT 06516-3789 | 2019-07-18 |
| 1942866793 | Livwell Pain Management LLC | Nurse Practitioner | 385 Main St Ste 2, West Haven, CT 06516-4312 | 2019-05-17 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1346750643 | Jennifer Dias | Nurse Practitioner | 755 Campbell Ave Ste 2, West Haven, CT 06516-3715 | 2017-10-02 |
| 1730559360 | Leif Eric Petterson Jr. | Nurse Practitioner | 945 Campbell Ave, West Haven, CT 06516-2706 | 2015-09-24 |
| 1104294644 | West Haven Pediatrics, LLC | Nurse Practitioner | 367 Elm St, West Haven, CT 06516-4217 | 2015-09-14 |
| 1528446127 | Michael Scotland Valmoria | Nurse Practitioner | 7 Big Spruce Ln, West Haven, CT 06516-7711 | 2015-05-14 |
| 1043616881 | Christine B Paranal | Nurse Practitioner | 150 Arlington St, West Haven, CT 06516-6405 | 2014-11-05 |
| Find all providers in WEST HAVEN | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
Please comment or provide details below to improve the information on MS. JUDITH ANN DESHPANDE.
| 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.