MANCHESTER MEDICAL ASSOCIATES PC (NPI# 1619173796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619173796 |
| Entity Type | Organization |
| Organization Name | MANCHESTER MEDICAL ASSOCIATES PC |
| Practice Address |
130 Hartford Rd Manchester CT 06040-5921 |
| Practice Telephone | 8606454150 |
| Mailing Telephone | 8606454150 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-02-28 |
| Authorized Official Name | DEBBIE ANN GIRARD (OFFICE MANAGER) |
| Authorized Official Telephone | 8606454150 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 002925 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
130 HARTFORD RD |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-5921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061965 | Swathanthra Kumar Melekote | Pediatrics | 130 Hartford Rd, Manchester, CT 06040-5921 | 2005-08-23 |
| 1588287999 | Camillo Ferrari | Student in an Organized Health Care Education/Training Program | 130 Hartford Rd, Manchester, CT 06040-5921 | 2020-05-20 |
| 1457973299 | Joseph Michael Ryan | Student in an Organized Health Care Education/Training Program | 130 Hartford Rd, Manchester, CT 06040-5921 | 2020-05-14 |
| 1629690532 | Ryan Reinken | Student in an Organized Health Care Education/Training Program | 130 Hartford Rd, Manchester, CT 06040-5921 | 2020-05-13 |
| 1508487190 | Asma Afridi | Student in an Organized Health Care Education/Training Program | 130 Hartford Rd, Manchester, CT 06040-5921 | 2020-05-05 |
| 1831710532 | Fatima Noor Akmal | Student in an Organized Health Care Education/Training Program | 130 Hartford Rd, Manchester, CT 06040-5921 | 2020-05-04 |
| 1528689387 | Nicholas John Saba | Student in an Organized Health Care Education/Training Program | 130 Hartford Rd, Manchester, CT 06040-5921 | 2020-05-04 |
| 1093336901 | Nima Eypakchi Azimi | Student in an Organized Health Care Education/Training Program | 130 Hartford Rd, Manchester, CT 06040-5921 | 2020-05-01 |
| 1003479205 | Roger Lu | Student in an Organized Health Care Education/Training Program | 130 Hartford Rd, Manchester, CT 06040-5921 | 2019-04-15 |
| 1992268569 | Tahir Mohammad Chaudhry | Student in an Organized Health Care Education/Training Program | 130 Hartford Rd, Manchester, CT 06040-5921 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144769548 | Lindsay Andronaco | Nurse Practitioner | 159 Frontage Rd, Manchester, NH 03103-6013 | 2017-02-17 |
| 1609242429 | Brandy Nicole Hall | Nurse Practitioner | 201 Morse Rd, Manchester, NH 03104-5723 | 2015-08-16 |
| 1154635407 | Edwards Clinic, Psc | Nurse Practitioner | 204 Town Branch Road, Manchester, KY 40962-1322 | 2010-07-28 |
| 1427241421 | Kimberly D. Mathis | Nurse Practitioner | 1600 Mcarthur Street, Manchester, TN 37355 | 2007-08-22 |
| 1619190212 | Virginia H Bennett | Nurse Practitioner | 223 East Center St, Manchester, CT 06040 | 2007-04-11 |
| 1881733111 | Rosetta Lakes | Nurse Practitioner | 100 S Court St, Manchester, KY 40962-1295 | 2007-02-05 |
| 1316052442 | Karen J Cheek | Nurse Practitioner | 90 Garrard Sq, Manchester, KY 40962-5759 | 2006-08-20 |
| 1275541062 | Diane Estelle Ballard | Nurse Practitioner | 870 Montgomery St, Manchester, NH 03102-2722 | 2006-08-04 |
| 1952347734 | Kristy Taylor | Nurse Practitioner | 9 Blodget St, Manchester, NH 03104 | 2006-06-21 |
| 1417908518 | Cynthia A Martin | Nurse Practitioner | 212 Rosedale Dr, Manchester, PA 17345-1023 | 2006-05-13 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
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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.