LARA BETH KOKENOS (NPI# 1659523561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659523561 |
| Entity Type | Individual |
| Full Name | LARA BETH KOKENOS |
| Credential | PA |
| Practice Address |
425 Post Rd Fl 2 Fairfield CT 06824-6232 |
| Mailing Address |
455 Hope St Apt 3g Stamford CT 06906-1330 |
| Practice Telephone | 2032541576 |
| Mailing Telephone | 2032571829 |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2013-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
002163 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | PA LICENSE | 002163 | 01 |
| CT | DEA | ML1861170 | 01 |
| Street Address |
425 POST RD FL 2 |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-6232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780607945 | Jennifer M Nori | Physician Assistant | 93 Nonopoge Rd, Fairfield, CT 06825-7219 | 2006-07-26 |
| 1073945267 | Kelly M. Pitzer | Physician Assistant | 3050 Mack Rd, Suite 200, Fairfield, OH 45014-5379 | 2013-07-30 |
| 1962787986 | Sweta G Dalsania | Physician Assistant | 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 | 2011-10-21 |
| 1881981348 | Petko Petkov Mitev | Physician Assistant | 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 | 2011-07-06 |
| 1295978930 | Marjorie Claudine Francis | Physician Assistant | 695 Us Highway 46 Ste 400a, Fairfield, NJ 07004-1568 | 2009-04-10 |
| 1023281664 | Carlo Opont | Physician Assistant | 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 | 2008-04-03 |
| 1336188127 | Matthew Donald Barr | Physician Assistant | 52 Beach Rd, Suite 207, Fairfield, CT 06824-6017 | 2006-06-06 |
| 1215982624 | Jill Wasserman Gulliford | Physician Assistant | 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798362 | Brandon H Kusako | Physician Assistant | 34 Maple St Dept Of, Norwalk, CT 06850-3815 | 2020-10-26 |
| 1073137097 | Page Renee Burns | Physician Assistant | 40 Bertrose Ave, Milford, CT 06460-5906 | 2020-06-05 |
| 1043848575 | Caitlin Ann Kimberly | Physician Assistant | 40 Avalon Dr Unit 6331, Milford, CT 06460-8956 | 2020-03-30 |
| 1699307199 | Lindy Carelli | Physician Assistant | 330 Washington St Ste 410, Norwich, CT 06360-2700 | 2020-02-12 |
| 1174166722 | Jacqueline Clarizio | Physician Assistant | 5520 Park Ave Ste 300, Trumbull, CT 06611-3465 | 2019-10-25 |
| 1699260109 | Kristen Jean Mosher | Physician Assistant | 31 Cloverdale Ave, Shelton, CT 06484-2538 | 2018-06-27 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1962920561 | Eugenie Cho | Physician Assistant | 34 Maple St., Norwalk, CT 06856 | 2017-09-03 |
| 1134536311 | Allyson E Kubasek | Physician Assistant | 32 Seymour Street, Hartford Hospital Orthopedics Dept, Hartford, CT 06102-5037 | 2014-07-19 |
| 1477964344 | Samuel Silva | Physician Assistant | 226 White St., Danbury, CT 06810 | 2014-05-14 |
| Find all providers with the same taxonomy | ||||
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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.