SUSAN GRACE (NPI# 1679699284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679699284 |
| Entity Type | Individual |
| Full Name | SUSAN GRACE |
| Credential | APRN |
| Practice Address |
1153 Main St Coventry CT 06238-3115 |
| Mailing Address |
Po Box 725 Coventry CT 06238-0725 |
| Practice Telephone | 8603412776 |
| Mailing Telephone | 8609890035 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2018-12-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
002645 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | APRN | 002645 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 189 Storrs Rd, Mansfield Center, CT 062501683 | 8604561311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629421813 | Susan Grace | Radiology | 82198 Vandenberg Dr, Indio, CA 92201-7456 | 2016-07-22 |
| 1689850646 | Susan Grace | Social Worker | 3365 172nd St, Flushing, NY 11358-1828 | 2008-01-21 |
| 1891838629 | Susan K Grace | Nurse Practitioner | 400 Teegarden St, Suite B, La Porte, IN 46350-3175 | 2007-02-14 |
| 1689189177 | Susan Elizabeth Grace | Social Worker | 305 W Jackson St Ste 200, Carbondale, IL 62901-1474 | 2017-12-06 |
| 1831402049 | Susan Grace | Pediatrics | 1900 S Main St, Findlay, OH 45840-1214 | 2010-07-16 |
| 1679893697 | Susan Grace | Chiropractor | 777 Concord Ave, Ste 301, Cambridge, MA 02138-1053 | 2010-06-02 |
| 1619107257 | Susan Sojourner Grace | Occupational Therapist | 269 S Candy Ln, Verde Valley Medical Center Entirecare, Cottonwood, AZ 86326-4158 | 2009-07-16 |
| Street Address |
1153 MAIN ST |
| City | COVENTRY |
| State | CT |
| Zip Code | 06238-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992310379 | Chattersoupe, Pllc | Marriage & Family Therapist | 1153 Main St, Coventry, CT 06238-3115 | 2020-09-11 |
| 1871071423 | Chastity J. Pimental Lcsw, Pllc | Social Worker | 1153 Main St, Coventry, CT 06238 | 2018-08-04 |
| 1336477942 | Amy L. Belval | Marriage & Family Therapist | 1153 Main St, Coventry, CT 06238-3115 | 2009-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023624855 | Annika Simmons | Behavioral Analyst | 878 Silver Street, Coventry, Ct, Usa, Coventry, CT 06238 | 2020-09-17 |
| 1932201308 | Paul Ilario Szwez | Chiropractor | 28 Lake St., Coventry, CT 06238 | 2006-09-05 |
| 1306879242 | Richard A St. Dennis | Physician Assistant | 3514 Main Street, Coventry, CT 06238 | 2006-07-07 |
| 1881726123 | Daniel M Mclennon | Dentist | 16 Lake St., Coventry, CT 06238-0327 | 2007-03-12 |
| 1568686970 | Jennifer Therian | Counselor | 32 Church Lane, Coventry, CT 06238-0749 | 2007-04-13 |
| 1821332115 | Jenifer L Gietek | Social Worker | 21 Bread and Milk St Fl 1, Coventry, CT 06238-1012 | 2012-11-27 |
| 1144531989 | Barbara Forstberg Lcsw LLC | Community/Behavioral Health | 21 Bread and Milk St, Coventry, CT 06238-1012 | 2010-06-26 |
| 1396007043 | Julie Lynn Ingenohl | Marriage & Family Therapist | 58 Zeya Dr, Coventry, CT 06238-1035 | 2012-06-08 |
| 1407888332 | Krista A Catalan | Physical Therapist | 1683 Boston Tpke, Coventry, CT 06238-1105 | 2006-07-07 |
| 1558338004 | David Edelheit | Family Medicine | 1707 Boston Tpke, Coventry, CT 06238-1105 | 2006-03-03 |
| Find all providers in zip 06238 | ||||
| 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 |
|---|---|---|---|---|
| 1053419747 | Mental Health Resources LLC | Nurse Practitioner | 125 Hemlock Point Dr, Coventry, CT 06238-2336 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164935 | Sheneese Denelle Charles | Nurse Practitioner | 22 Victoria Rd, New Britain, CT 06052-1536 | 2020-11-03 |
| 1396345179 | Kate Hanselman | Nurse Practitioner | 224 Saint John St # 3l, New Haven, CT 06511-4917 | 2020-10-29 |
| 1518565399 | Gina Kolstad | Nurse Practitioner | 279 Quarry Rd # 2, Glastonbury, CT 06033-3406 | 2020-10-13 |
| 1043818966 | Shakeria C Brown | Nurse Practitioner | 567 Millville Ave Apt 3-10, Naugatuck, CT 06770-2337 | 2020-10-13 |
| 1154937910 | Gregory Guion | Nurse Practitioner | 2275 Silas Deane Highway, 2nd Floor, Rocky Hill, CT 06067-2343 | 2020-09-17 |
| 1003425331 | Ryan Keenan | Nurse Practitioner | 34 Seaview Ave, West Haven, CT 06516-6846 | 2020-07-22 |
| 1649888256 | Healthy Minds Pllc | Nurse Practitioner | 40 Russ St, Hartford, CT 06106-1520 | 2020-07-20 |
| 1174131205 | Kimberly Levitt | Nurse Practitioner | 466 Ridgebury Rd, Ridgefield, CT 06877-1228 | 2020-07-15 |
| 1801414602 | Georgina Twumasi Mental Health LLC | Nurse Practitioner | 29 Wildwood Cir, South Windsor, CT 06074-1700 | 2020-07-08 |
| 1356978688 | Rachel Feit | Nurse Practitioner | 63 Pine Tree Dr, Stamford, CT 06906-1529 | 2020-03-25 |
| 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.