JENNIFER A COLUCCI (NPI# 1558364653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558364653 |
Entity Type | Individual |
Full Name | JENNIFER A COLUCCI |
Credential | APRN |
Practice Address |
21 Grand St Hartford CT 06106-1541 |
Practice Telephone | 8605507500 |
Practice Fax Number | 8605507529 |
Mailing Telephone | 8605507500 |
Mailing Fax Number | 8605507529 |
Enumeration Date | 2005-05-23 |
Last Update Date | 2014-01-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
002805 | CT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 004243630 | 05 |
Street Address |
21 GRAND ST |
City | HARTFORD |
State | CT |
Zip Code | 06106-1541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518583780 | Ludwig V Rosiclair | Pharmacist | 21 Grand St, Hartford, CT 06106-1541 | 2020-06-23 |
1235752866 | Philip Jacob Bergen Jr. | Physician Assistant | 21 Grand St, Hartford, CT 06106-1541 | 2020-05-18 |
1982243580 | Melissa Richardson | Nurse Practitioner | 21 Grand St, Hartford, CT 06106-1541 | 2019-12-30 |
1841838596 | Kristal Velazquez | Midwife | 21 Grand St, Hartford, CT 06106-1541 | 2019-12-12 |
1346888237 | Jillian Smith | Advanced Practice Midwife | 21 Grand St, Hartford, CT 06106-1541 | 2019-12-11 |
1467002634 | Stephanie Marie Watson | Physician Assistant | 21 Grand St, Hartford, CT 06106-1541 | 2019-09-18 |
1598311763 | Joeli Mcquaid-robert | Social Worker | 21 Grand St, Hartford, CT 06106-1541 | 2019-08-14 |
1487207718 | Andrea Fachini | Physician Assistant | 21 Grand St, Hartford, CT 06106-1541 | 2019-07-16 |
1831758366 | Kelly Ruiz | Physician Assistant | 21 Grand St, Hartford, CT 06106-1541 | 2019-06-09 |
1174188262 | Samantha Ann Windoloski | Physician Assistant | 21 Grand St, Hartford, CT 06106-1541 | 2019-05-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
Find all providers in zip 06106 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174143259 | Sean Kelleher | Nurse Practitioner | 80 Seymour St, Hartford, CT 06106-3315 | 2020-04-20 |
1841829678 | Rebecca Robinson | Nurse Practitioner | 80 Seymour St, Hartford, CT 06106-3315 | 2020-04-03 |
1770129850 | Maura O'malley Bycenski | Nurse Practitioner | 80 Seymour St, Hartford, CT 06102-8000 | 2019-11-23 |
1699321869 | Patricia Kelly Chase | Nurse Practitioner | 80 Seymour St, Hartford, CT 06102-8000 | 2019-08-14 |
1134775307 | Christina Clout | Nurse Practitioner | 80 Seymour St, Hartford, CT 06102-8000 | 2019-08-14 |
1316590227 | Kerry Leigh Sawamura | Nurse Practitioner | 80 Seymour St, Hartford, CT 06102-8000 | 2019-07-19 |
1346892775 | Hannah C Jenkins | Nurse Practitioner | 114 Woodland St, Hartford, CT 06105-1208 | 2019-07-16 |
1366906646 | Roxanna Lily Robbins | Nurse Practitioner | 80 Seymour St, Hartford, CT 06102-8000 | 2019-01-30 |
1295200020 | Rosanna Maria M Mendite | Nurse Practitioner | 80 Seymour St, Hartford, CT 06102-8000 | 2018-10-08 |
1285119644 | Meagane Bryhann Boston | Nurse Practitioner | 80 Seymour St, Hartford Hospital Surgery Dept, Hartford, CT 06102-5037 | 2018-10-01 |
Find all providers in HARTFORD |
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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.