NATHAN DOUGLAS ROY (NPI# 1619494390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619494390 |
| Entity Type | Individual |
| Full Name | NATHAN DOUGLAS ROY |
| Practice Address |
431 Briarwood Lane Middletown CT 06457 |
| Mailing Address |
431 Briarwood Ln Middletown CT 06457-7926 |
| Practice Telephone | 8607481100 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
431 BRIARWOOD LANE |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| 1265880116 | Cynthia Holley | Pharmacist | 855 Washington St., Middletown, CT 06457 | 2016-06-01 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916488 | Ashley Poprilo | Student in an Organized Health Care Education/Training Program | 19 Grand St, Middletown, CT 06457-2705 | 2020-09-11 |
| 1659993905 | Punik Shah | Student in an Organized Health Care Education/Training Program | 707 E Main St Ste 1243, Middletown, NY 10940-2667 | 2020-05-09 |
| 1861021537 | Danielle Marie Juelis | Student in an Organized Health Care Education/Training Program | 127 Irwin Pl, Middletown, NJ 07748-2308 | 2020-04-05 |
| 1518523489 | Melissa Lynn Lipari | Student in an Organized Health Care Education/Training Program | 21825 Jerusalem Grade Road, Middletown, CA 95461 | 2019-05-15 |
| 1336600535 | Nathan Lo | Student in an Organized Health Care Education/Training Program | 937 Whispering Trail, Middletown, DE 19709 | 2019-03-29 |
| 1528535606 | Theresa Macy | Student in an Organized Health Care Education/Training Program | 1058 Washington St Fl 2, Middletown, CT 06457-2913 | 2018-10-26 |
| 1619442563 | Kelsey Byrd | Student in an Organized Health Care Education/Training Program | 6546 Niderdale Way, Middletown, OH 45042-9400 | 2018-10-08 |
| 1447789706 | Pabel Ali Miah | Student in an Organized Health Care Education/Training Program | 707 E. Main Street, Middletown, NY 10940 | 2017-06-08 |
| 1124491915 | Lorna Pierson | Student in an Organized Health Care Education/Training Program | 1448 Route 211 W, Middletown, NY 10940-7641 | 2015-11-03 |
| 1326421017 | Angel Brittney Armstrong | Student in an Organized Health Care Education/Training Program | 1406 Forest Ave Apt 3, Middletown, OH 45044-4323 | 2015-06-30 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on NATHAN DOUGLAS ROY.
| 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.