LORI PELOSI (NPI# 1649521352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649521352 |
| Entity Type | Individual |
| Full Name | LORI PELOSI |
| Credential | APRN |
| Practice Address |
969 W Main St Suite 1 D Waterbury CT 06708-2653 |
| Mailing Address |
619 Guernseytown Rd Watertown CT 06795-1820 |
| Practice Telephone | 2035960857 |
| Practice Fax Number | 2039000672 |
| Mailing Telephone | 2035258052 |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2016-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 005149 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
005149 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
005149 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
969 W MAIN ST SUITE 1 D |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083697114 | Jeffrey Howard Boyd | Psychiatry & Neurology | 969 W Main St, Waterbury, CT 06708-2653 | 2005-11-22 |
| 1225685811 | Thelma Afua Simpaa Osei | Nurse Practitioner | 969 W Main St, Waterbury, CT 06708-2653 | 2019-08-20 |
| 1669035390 | Jeffrey H. Boyd M.d.and Associates, Pllc | Psychiatry & Neurology | 969 W Main St, Waterbury, CT 06708-2653 | 2019-04-18 |
| 1821577487 | Brass City Counseling. | Social Worker | 969 W Main St, Waterbury, CT 06708-2653 | 2018-08-14 |
| 1558880435 | Kate Rooney | Nurse Practitioner | 969 W Main St, Waterbury, CT 06708-2653 | 2017-09-12 |
| 1861924292 | Rejuvenating Mind & Body, LLC | Social Worker | 969 W Main St, Suite 2g, Waterbury, CT 06708-2653 | 2017-04-03 |
| 1265972681 | Latanya Bizor, Lcsw,llc | Social Worker | 969 W Main St, Ste 2g, Waterbury, CT 06708-2653 | 2017-03-04 |
| 1699218602 | Holistic Services Inc | Social Worker | 969 W Main St, Suite 1 D, Waterbury, CT 06708-2653 | 2016-11-22 |
| 1497101265 | Advance Practice Resource Network LLC | Nurse Practitioner | 969 W Main St, Suite 1 D, Waterbury, CT 06708-2653 | 2016-05-10 |
| 1902269194 | Ronald Baptiste | Counselor | 969 W Main St, Waterbury, CT 06708-2653 | 2016-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072033 | Sarah Michelle Whalen | Nurse Practitioner | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2020-04-23 |
| 1720616246 | Susan Antoinette Pappas | Nurse Practitioner | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2020-03-30 |
| 1578022166 | Daedly Potusek | Nurse Practitioner | 80 Phoenix Ave, Waterbury, CT 06702-1418 | 2019-03-14 |
| 1124592274 | Deon Johnson-allen | Nurse Practitioner | 88 Grandview Ave, Waterbury, CT 06708-2509 | 2019-01-11 |
| 1356818421 | Olanike Oyeyemi Idowu | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708-2613 | 2018-10-26 |
| 1104344506 | Kimberly Burns | Nurse Practitioner | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2017-09-06 |
| 1114462561 | Shantelle Brokaw | Nurse Practitioner | 128 Cedar Ave, Waterbury, CT 06705-2700 | 2016-12-21 |
| 1407201957 | Alexandria Smith | Nurse Practitioner | 30 Holmes Ave, Waterbury, CT 06710-2412 | 2016-05-03 |
| 1134504715 | Nicholas James O'brien | Nurse Practitioner | 60 N Main St, 3rd Floor, Waterbury, CT 06702-1443 | 2015-07-24 |
| 1225461221 | Alyson Nicolosi | Nurse Practitioner | 80 Phoenix Ave, Suite 201, Waterbury, CT 06702-1418 | 2013-08-13 |
| Find all providers in WATERBURY | ||||
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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.