MRS. STEPHANIE JEAN PRUCHNIK (NPI# 1669878260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669878260 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE JEAN PRUCHNIK |
| Credential | LPN, IBCLC |
| Practice Address |
120 Park Lane Rd Suite A101 New Milford CT 06776-2444 |
| Mailing Address |
21 Pickett District Rd New Milford CT 06776-4412 |
| Practice Telephone | 2034171693 |
| Mailing Telephone | 2034171693 |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-60874 | CT | Other Service Providers |
| Street Address |
120 PARK LANE RD SUITE A101 |
| City | NEW MILFORD |
| State | CT |
| Zip Code | 06776-2444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316924160 | Jean Darlene Irish | Psychologist | 120 Park Lane Rd, Suite A102, New Milford, CT 06776-2444 | 2005-12-22 |
| 1093276750 | Maja Matwiejczuk | Nurse Practitioner | 120 Park Lane Rd, New Milford, CT 06776-2444 | 2019-03-26 |
| 1710434840 | Diane D'isidori | Pediatrics | 120 Park Lane Rd, Suite A101, New Milford, CT 06776-2444 | 2016-09-07 |
| 1275934051 | Western Connecticut Dental Arts | Dentist | 120 Park Lane Rd, Unit B201, New Milford, CT 06776-2444 | 2014-09-11 |
| 1396972055 | Kathleen Marie Mcevoy | Counselor | 120 Park Lane Rd, New Milford, CT 06776-2444 | 2009-06-19 |
| 1891920625 | Stephanie Teresa Tiso | Pediatrics | 120 Park Lane Rd, Suite A-101, New Milford, CT 06776-2444 | 2009-05-22 |
| 1447498803 | Donna Maria Meyer | Counselor | 120 Park Lane Rd, Suite A102, New Milford, CT 06776-2444 | 2009-01-23 |
| 1437345543 | Kevin Stanton | Dentist | 120 Park Lane Rd, Unit B201, New Milford, CT 06776-2444 | 2007-09-21 |
| 1477692770 | Danbury Orthopedic Associates PC | Orthopaedic Surgery | 120 Park Lane Rd, Suite A202, New Milford, CT 06776-2444 | 2007-02-05 |
| 1285771063 | Continental Continence Center | Urology | 120 Park Lane Rd, New Milford, CT 06776-2444 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639680879 | Foot & Ankle Specialists of Ct PC | Podiatrist | 7 Pickett District Road, New Milford, CT 06776 | 2017-10-16 |
| 1477715035 | Abra Grize Mabasa | Family Medicine | 169 Danberry Rd., New Milford, CT 06776 | 2008-06-25 |
| 1134393259 | Brian A Fusillo | Dentist | One Aspetuck Ave, New Milford, CT 06776 | 2008-04-18 |
| 1972791499 | New Milford Chiropractic | Chiropractor | 5 Old Town Park Road, South End Plaza Unit 70, New Milford, CT 06776 | 2007-10-10 |
| 1366637084 | Mary Mackessy | Emergency Medicine | 21 Elm Street, New Milford, CT 06776 | 2007-09-06 |
| 1659407021 | Margaret Martha Babington | Specialist/Technologist | 101 Aspetuck Ave, Canterbury School, New Milford, CT 06776 | 2007-02-27 |
| 1053448456 | Lisa Gay Witham | Specialist/Technologist | 101 Aspetuck Ave., Canterbury School, New Milford, NH 06776 | 2007-02-27 |
| 1710049754 | Linda Gail Smith | Social Worker | New Milford Hospital Behavioral Health Services, 18 Elm St, New Milford, CT 06776 | 2006-12-15 |
| 1881777597 | Candlewood New Milford LLC | Skilled Nursing Facility | 30 Park Lane East, New Milford, CT 06776 | 2006-10-24 |
| 1417030651 | Interface Center Inc | Counselor | 46 Danbury Rd, Suite 6, New Milford, CT 06776 | 2006-10-23 |
| Find all providers in zip 06776 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115459 | Courtney Lynn Rossignol | Lactation Consultant, Non-RN | 73 Brenda Ln, Coventry, CT 06238-1648 | 2020-08-17 |
| 1033756077 | Sabrina Granniss | Lactation Consultant, Non-RN | 558 Horse Hill Rd, Westbrook, CT 06498-2810 | 2019-12-10 |
| 1881162188 | Victoria Vanech | Lactation Consultant, Non-RN | 276 Sound Beach Ave Fl 2, Old Greenwich, CT 06870-1626 | 2018-11-05 |
| 1932681624 | Nicholanna Prince | Lactation Consultant, Non-RN | 505 Mount Parnassus Rd, East Haddam, CT 06423-1532 | 2018-08-30 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1891283024 | Bonnie Elizabeth Jahns | Lactation Consultant, Non-RN | 1042 Poquonnock Rd Lot 34, Groton, CT 06340-4222 | 2018-04-24 |
| 1881130615 | Lynn Turcotte-schuh | Lactation Consultant, Non-RN | 109 Bassett Mills Rd, Voluntown, CT 06384-1734 | 2017-01-18 |
| 1609227537 | Dana Czuczka | Lactation Consultant, Non-RN | 3 Possum Run, Westport, CT 06880-1901 | 2016-06-22 |
| 1326439712 | Kerry Michele Ryan | Lactation Consultant, Non-RN | 175 Silvermine Ave, Norwalk, CT 06850-1610 | 2015-02-06 |
| 1295144798 | Lauren Fruehan | Lactation Consultant, Non-RN | 106 Wedgewood Dr, Naugatuck, CT 06770-1600 | 2014-08-08 |
| Find all providers with the same taxonomy | ||||
| City | NEW MILFORD |
| Zip Code | 06776 |
Please comment or provide details below to improve the information on MRS. STEPHANIE JEAN PRUCHNIK.
| 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.