JADE PARADIS (NPI# 1649679697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649679697 |
| Entity Type | Individual |
| Full Name | JADE PARADIS |
| Credential | ANP-BC |
| Practice Address |
79 Wawecus St Norwich CT 06360-2160 |
| Mailing Address |
40 Elmwood St. Old Saybrook CT 06475 |
| Practice Telephone | 8608862679 |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
00585851 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
79 WAWECUS ST |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620064 | Jeffrey P Seltzer | Internal Medicine | 79 Wawecus St, Suite 106, Norwich, CT 06360-2160 | 2005-06-24 |
| 1043697352 | Carl Kammerer | Technician/Technologist | 79 Wawecus St, Suite 105, Norwich, CT 06360-2178 | 2015-05-06 |
| 1407255375 | Patricia Varma | Nurse Practitioner | 79 Wawecus St, Norwich, CT 06360-2160 | 2014-08-17 |
| 1396151858 | Kristen Farrell | Nurse Practitioner | 79 Wawecus St, Ste. 101, Norwich, CT 06360-2173 | 2014-07-05 |
| 1316280803 | Sang and Sridhar Digestive Disease Consultants LLC | Internal Medicine | 79 Wawecus St, Suite 102, Norwich, CT 06360-2160 | 2013-04-03 |
| 1760790612 | Leslie N Brown | Physician Assistant | 79 Wawecus St, Ste. 101, Norwich, CT 06360-2160 | 2010-09-14 |
| 1316264286 | Sunita Sidhu-buonocore | Internal Medicine | 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 | 2010-04-30 |
| 1356500532 | Shivani Sood | Internal Medicine | 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 | 2008-06-03 |
| 1689846511 | Natalee Simone Sansone | Internal Medicine | 79 Wawecus St, Suite 101, Norwich, CT 06360-2160 | 2008-04-01 |
| 1447438924 | Norwich Ophthalmology Group, P.C. | Ophthalmology | 79 Wawecus St, Suite 105, Norwich, CT 06360-2160 | 2008-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407346323 | Irene D Gumboc | Nurse Practitioner | 99 Starr St, Norwich, CT 06360-4025 | 2018-05-16 |
| 1770891186 | Sue Ellen Button | Nurse Practitioner | 179 North Broad Street, Chenango Memorial Hospital, Norwich, NY 13815-1019 | 2010-09-20 |
| 1558986174 | Ryan Mansi | Nurse Practitioner | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2020-06-09 |
| 1679108534 | Alma Barreto Aprn LLC | Nurse Practitioner | 12 Case St Ste 202, Norwich, CT 06360-2222 | 2020-03-10 |
| 1689155004 | Laura Saskal | Nurse Practitioner | 47 Town St, Norwich, CT 06360-2323 | 2018-08-23 |
| 1194234005 | Kristen Kay Menard | Nurse Practitioner | 179 N Broad St, Norwich, NY 13815-1019 | 2017-09-22 |
| 1487173431 | Alaina Lyn Kindelan | Nurse Practitioner | 326 Washington St, Norwich, CT 06360 | 2017-09-11 |
| 1407255375 | Patricia Varma | Nurse Practitioner | 79 Wawecus St, Norwich, CT 06360-2160 | 2014-08-17 |
| 1134553704 | Laura Rydelek Fitzgerald | Nurse Practitioner | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2013-08-30 |
| 1811251713 | Deirdre M Clark | Nurse Practitioner | 326 Washington St, Norwich, CT 06360-2740 | 2012-06-26 |
| Find all providers in NORWICH | ||||
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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.