JACQUELYN PENTA KILMAN


Address: 80 Seymour Street, Hartford Hospital Ob/gyn Dept, Hartford, CT 06102-5037
Phone: 8609722780

JACQUELYN PENTA KILMAN (NPI# 1629169149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629169149
Entity Type Individual
Full Name JACQUELYN PENTA KILMAN
Credential APRN
Practice Address 80 Seymour Street
Hartford Hospital Ob/gyn Dept
Hartford
CT 06102-5037
Mailing Address P.o. Box 415933
Hartford Hospital Professional Services
Boston
MA 02241-5933
Practice Telephone 8609722780
Mailing Telephone 8605457602
Enumeration Date 2006-09-28
Last Update Date 2012-05-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
002762 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 004249042 05

Office Location

Street Address 80 SEYMOUR STREET
HARTFORD HOSPITAL OB/GYN DEPT
City HARTFORD
State CT
Zip Code 06102-5037

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154323426 Rohini Ruth Becherl Family Medicine 80 Seymour Street, Hartford Hospital Geriatrics Program, Hartford, CT 06102-5037 2005-06-01
1588283584 Dana Wells Mcpherson Physician Assistant 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 2020-04-10
1619523388 Thomas John Basil Physician Assistant 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 2019-08-17
1275188161 Sara E Hughes Nurse Practitioner 80 Seymour Street, Hartford Hosp Medicine Dept, Hartford, CT 06102-8000 2019-08-07
1790339166 Jared C Walsh Physician Assistant 80 Seymour Street, Cvo Provider Enrollment, Hartford, CT 06102-8000 2019-07-24
1740848803 Tara J Dempsey Physician Assistant 80 Seymour Street, Hartford Hospital Neurology Dept, Hartford, CT 06102-8000 2019-06-04
1790349488 Mark J Sorel Physician Assistant 80 Seymour Street, Hartford Hospital Medicine Dept, Hartford, CT 06102-8000 2019-04-28
1528521408 Kelly Nguyen Physician Assistant 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 2019-04-09
1821558461 Alysse K Pazienza Physician Assistant 80 Seymour Street, Hartford Hosp Medicine Dept, Hartford, CT 06102-8000 2019-03-20
1760956569 Kathryn Vignati Physician Assistant 80 Seymour Street, Department of Surgery, Hartford, CT 06102-5037 2019-01-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144843616 Michael Skolnick Registered Nurse West Grad Building, Institute of Living, 200 Retreat Ave, Hartford, CT 06102 2020-05-19
1942734058 Giorgi Kveladze Internal Medicine 80 Seymour St. Hospitalist Devision, Hartford, CT 06102 2017-04-14
1902352248 Safina Hafeez Student in an Organized Health Care Education/Training Program 80 Seymour Street Hartford Hospital, 3rd Floor Pathology, Hartford, CT 06102 2016-08-28
1154774990 Neelam Khetpal Internal Medicine 80 Seymour St Bldg 502, Hartford, CT 06102 2016-07-17
1588073613 Gene Pershwitz Internal Medicine 80 Seymour St Dept Jb704, Hartford, CT 06102 2014-08-02
1831503101 Sarah Meira Benchaya Psychiatry & Neurology 80 Seymour Street #jb 604, Hartford, CT 06102 2014-06-16
1255742326 Stephanie Felicia Alessi-larosa Psychiatry & Neurology 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 2014-05-12
1619219219 Hartford Hospital Psychiatric Hospital 200 Retreat St, Institute of Living, Hartford, CT 06102 2013-03-21
1548271141 Pasquale F Finelli Psychiatry & Neurology 80 Seymour Street, Jb Suite 604, Hartford Hospital Neurology Dept., Hartford, CT 06102 2006-08-10
1265474340 Gary Francis Nobert Obstetrics & Gynecology Hartford Hospital Ob Gyn Dept, 80 Seymour Street, Hartford, CT 06102 2006-06-12
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992802037 Adele Silhavy Nurse Practitioner 1000 Asylum Ave Rm 1026, Hartford, CT 06105-1701 2006-09-20
1962588947 Deborah S Riege Nurse Practitioner 80 Seymour Street, Hartford Hospital Ob/gyn, Hartford, CT 06102 2006-10-31
1851494942 Maxine Costa Nurse Practitioner 19 Woodland Street, Suite 31, Hartford, CT 06105 2006-09-06
1659474690 Karen M Beattie Nurse Practitioner 100 Retreat Ave, Suite 201, Hartford, CT 06106 2006-09-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548655038 Tania Richard Nurse Practitioner 17 Eastwood Rd, Groton, CT 06340-6010 2015-04-01
1710230842 Lenore Ann Leone Nurse Practitioner 500 Old Farms Rd, Avon, CT 06001-2716 2012-10-26
1669571428 Mary Jean Walker Nurse Practitioner 300 Western Boulevard, Glastonbury, CT 06033 2006-09-21
1902912827 Elizabeth Jensen Nurse Practitioner 120 Simsbury Rd Ste B, Avon, CT 06001-3735 2006-08-22
1578590485 Jean E. Mackay Nurse Practitioner 67 Hickory Hill Road, Simsbury, CT 06070 2006-06-27
1083687057 Jeanne Bedard Nurse Practitioner 346 Pomfret St, Putnam, CT 06260-1871 2006-02-09
1710963483 Karen Marie Wunderlich Nurse Practitioner 120 Park Lane Rd Ste B202, New Milford, CT 06776-2450 2005-12-15
1467628016 Jean D Vulte Nurse Practitioner 33 Bullet Hill Rd., Bullet Hill Park, Suite 214, Southbury, CT 06488-4699 2008-05-05
1477766202 Timothy M Barczak Md LLC Nurse Practitioner 345 Montauk Ave, New London, CT 06320-4738 2007-05-08
1326166513 Jean Carol Ohliger Nurse Practitioner 1050 Sullivan Ave, Suite A4, South Windsor, CT 06074-2000 2007-03-26
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Competitor

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City HARTFORD
Zip Code 06102

Improve Information

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Dataset Information

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.

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