PEDIATRIC PARENTING, LLC (NPI# 1538458310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538458310 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC PARENTING, LLC |
| Practice Address |
435 Amity Rd Bethany CT 06524-3038 |
| Practice Telephone | 2034152238 |
| Mailing Telephone | 2034152238 |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-04-01 |
| Authorized Official Name | MS. ELISABETH A. REILLY (PRESIDENT) |
| Authorized Official Telephone | 2034152238 |
| Authorized Official Credential | APRN, CLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
000590 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
435 AMITY RD |
| City | BETHANY |
| State | CT |
| Zip Code | 06524-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194378323 | Brittany Varano | Dental Hygienist | 55 Sargent Dr., Bethany, CT 06524 | 2019-07-17 |
| 1366952384 | Cybil Kathleen Ryan | Social Worker | 649 Amity Rd # Uni103, Bethany, CT 06524 | 2017-10-04 |
| 1952542409 | Deborah Lynn Ellsworth | Social Worker | 649 Amity Road, Bethany, CT 06524 | 2009-03-12 |
| 1730218181 | Boaz Itshaky | Acupuncturist | 286 Beacon Rd, Bethany, CT 06524 | 2007-03-03 |
| 1881750131 | Michael Bruce Enson | Social Worker | 9 Munson Road, 2nd Floor, Bethany, CT 06524 | 2006-12-29 |
| 1043327232 | Amity Dental Care Inc | Dentist | 696 Amity Rd Ste A3, Bethany, CT 06524-3006 | 2006-08-24 |
| 1770805301 | Annette Maria Snow | Dietitian, Registered | 54 Lacey Rd, Bethany, CT 06524-3021 | 2010-02-24 |
| 1679561120 | The Bethany Volunteer Firemens Association Incorporated | Ambulance | 765 Amity Rd, Bethany, CT 06524-3028 | 2005-10-10 |
| 1831639392 | Tatiana A. Goclowski | Nurse Practitioner | 187 Beacon Rd, Bethany, CT 06524-3054 | 2017-03-03 |
| 1356798573 | Infinite Well LLC | Clinic/Center | 286 Beacon Rd, Bethany, CT 06524-3080 | 2016-05-17 |
| Find all providers in zip 06524 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942717665 | Ebony C Coleman | Nurse Practitioner | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2018-01-03 |
| 1912376765 | Stacy Danielle Provence | Nurse Practitioner | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2015-09-23 |
| 1548524499 | Shelly Poplin | Nurse Practitioner | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2012-06-26 |
| 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 | ||||
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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.