MS. KATE ELLEN KREMPASKY (NPI# 1629499157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629499157 |
| Entity Type | Individual |
| Full Name | MS. KATE ELLEN KREMPASKY |
| Credential | PA-C |
| Practice Address |
130 Division St Derby CT 06418-1326 |
| Mailing Address |
67 Maple Ave Fl 2 Derby CT 06418-1328 |
| Practice Telephone | 2037321330 |
| Practice Fax Number | 2037321332 |
| Mailing Telephone | 2037321330 |
| Mailing Fax Number | 2037321332 |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2019-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MA056624 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
4629 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CT LICENSE | 4629 | 01 |
| CAQH | 12647112 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 Park St, Honesdale, PA 184311445 | 5702538100 |
| Street Address |
130 DIVISION ST |
| City | DERBY |
| State | CT |
| Zip Code | 06418-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058478 | Mihaela Boran | Psychiatry & Neurology | 130 Division St, Derby, CT 06418-1326 | 2005-07-29 |
| 1437767134 | Sovit Dahal | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-07-20 |
| 1649894056 | Julie Sim | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-06-01 |
| 1073133435 | Angad Singh Gill | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2020-04-25 |
| 1699394924 | Ricardo Adolfo Concepcion Gomez | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418 | 2020-04-16 |
| 1104455112 | Maharshi Panchal | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-04-02 |
| 1104455252 | Anwesh Babu Poosala | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-04-01 |
| 1720615271 | Anthony Karam Awad | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-03-25 |
| 1134756760 | Douglas Misael Palacios Hernandez | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-03-24 |
| 1437786142 | Rosa Constantino | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839105 | Fnu Prinkiya | Student in an Organized Health Care Education/Training Program | Griffin Hospital. 130 Division St, Derby, CT 06418 | 2020-04-08 |
| 1942837935 | Ivanshi A Gondalia | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St, Derby, CT 06418 | 2020-03-27 |
| 1972168094 | Pir Saad | Student in an Organized Health Care Education/Training Program | C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 | 2019-05-03 |
| 1295398899 | Ahtsham Yousaf Chaudhary | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2019-04-18 |
| 1477016376 | Rabia Usman | Student in an Organized Health Care Education/Training Program | 130 Division St. Griffin Hospital, Derby, CT 06418 | 2019-04-09 |
| 1932661428 | Meshal Qaiser | Student in an Organized Health Care Education/Training Program | 130 Division Street Griffin Hospital, Derby, CT 06418 | 2019-04-03 |
| 1275027666 | Victoria Anne Hodge Enquist | Social Worker | 241 Seymour Avenue, Griffin Hospital Iop, Seymour, CT 06418 | 2018-06-19 |
| 1811485758 | Nimeshayan Varatharajah | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St., Derby, CT 06418 | 2018-04-26 |
| 1851889836 | Pete Prashamsa Shenoy | Student in an Organized Health Care Education/Training Program | Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 | 2018-04-25 |
| 1639696594 | Samantha Leigh Bassett | Counselor | 90 Sodom Lane, Derby, CT 06418 | 2017-08-23 |
| Find all providers in zip 06418 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952889990 | David K Pintar Jr. | Physician Assistant | 14 Hamilton Road, Derby, DERBYSHIRE DE23 6RT | 2018-08-01 |
| 1518453646 | Miranda Warunek | Physician Assistant | 130 Division St, Derby, CT 06418-1326 | 2018-07-01 |
| 1780012161 | Brittany Schnepp | Physician Assistant | 130 Division St, Derby, CT 06418 | 2013-10-23 |
| 1457658791 | Bradley P Herold | Physician Assistant | 130 Division St, Derby, CT 06418-1326 | 2011-02-23 |
| 1659557643 | Jennifer Anne Williams | Physician Assistant | 130 Division St, Derby, CT 06418-1326 | 2008-01-21 |
| 1295861599 | Gabrielle S Pino | Physician Assistant | 130 Division St, Derby, CT 06418 | 2007-02-23 |
| 1760402390 | Jennifer Pleimann | Physician Assistant | 130 Division St, Derby, CT 06418-1326 | 2006-07-19 |
| 1760408249 | Carolyn Madden | Physician Assistant | 130 Division St, Derby, CT 06418-1326 | 2006-07-15 |
| 1164458204 | Akiva Bronstein | Physician Assistant | 130 Division St, Derby, CT 06418-1326 | 2006-06-23 |
| 1205892452 | Scott B Callahan | Physician Assistant | 130 Division St, Derby, CT 06418-1326 | 2006-04-25 |
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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.