ADELINE VICTORIA SHAUGHNESSY (NPI# 1588150015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588150015 |
| Entity Type | Individual |
| Full Name | ADELINE VICTORIA SHAUGHNESSY |
| Practice Address |
1 Wildwood Medical Ctr Essex CT 06426 |
| Mailing Address |
16 Sunset Creek Rd Guilford CT 06437-2564 |
| Practice Telephone | 8607670168 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
7716 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 WILDWOOD MEDICAL CTR |
| City | ESSEX |
| State | CT |
| Zip Code | 06426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346424710 | Elizabeth Marshall | Social Worker | 1 Wildwood Medical Ctr, Essex, CT 06426-1155 | 2007-12-20 |
| 1821642786 | Mary S Briggs | Nurse Practitioner | 1 Wildwood Medical Ctr, Essex, CT 06426-1155 | 2019-07-30 |
| 1710141825 | Erin M Coleman-cordes | Nurse Practitioner | 1 Wildwood Medical Ctr, Essex, CT 06426-1155 | 2008-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123867 | Art Therapy & Creative Counseling | Counselor | 80 Plains Rd Unit 1, Essex, CT 06426 | 2017-06-05 |
| 1487085593 | Catherine Mary Demers | Nurse Practitioner | 10 Wildwood Medical Center, Essex, CT 06426 | 2013-11-29 |
| 1346515723 | Anne Peterson | Counselor | 80 Plains Rd, Essex, CT 06426 | 2012-03-19 |
| 1477851731 | Diana Leigh Amara | Counselor | 80 Plains Road, Essex, CT 06426 | 2011-03-09 |
| 1609034438 | Marybeth Pytlik Ellison | Pediatrics | Sunflower Developmental Pediatrics, 11 Wildwood Medical Center, Essex, CT 06426 | 2008-05-29 |
| 1780749747 | Dana Lyn Martin | Counselor | 190 Westbrook Road, Essex Child Guidance Clinic, Essex, CT 06426 | 2006-12-27 |
| 1881768836 | Jason Christopher Andrade | Counselor | 190 Westbrock Rd, Essex, CT 06426 | 2006-11-20 |
| 1386735546 | Robert D Dwyer | Urology | 6 Wildwood Medical Center, Essex, CT 06426 | 2006-09-27 |
| 1154421071 | Sharon D Mallon | Psychologist | 251 Westbrook Rd, Essex, CT 06426 | 2006-09-22 |
| 1043319510 | Brian David Fay | Social Worker | 251 Westbrook Road, Essex, CT 06426 | 2006-09-21 |
| Find all providers in zip 06426 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104831460 | Christina Fultz Rickenback | Nurse Practitioner | One Wildwood Medical Center, Essex, CT 06426 | 2006-07-29 |
| 1659981827 | Courtney Rose Gleason | Nurse Practitioner | 815 Eastern Blvd, Essex, MD 21221-3535 | 2020-08-03 |
| 1821642786 | Mary S Briggs | Nurse Practitioner | 1 Wildwood Medical Ctr, Essex, CT 06426-1155 | 2019-07-30 |
| 1710141825 | Erin M Coleman-cordes | Nurse Practitioner | 1 Wildwood Medical Ctr, Essex, CT 06426-1155 | 2008-07-17 |
| 1477569390 | Virginia Helen Tierney | Nurse Practitioner | One Wildwood Medical Center, Essex, CT 06426 | 2006-07-31 |
| 1831104967 | Allison Leona Marie Cappitella | Nurse Practitioner | One Wildwood Medical Center, Essex, CT 06426 | 2006-07-29 |
| 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.