MRS. GABRIELLA ELIZABETH SMITH (NPI# 1700883709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700883709 |
Entity Type | Individual |
Full Name | MRS. GABRIELLA ELIZABETH SMITH |
Credential | P.A. |
Practice Address |
711 Cottage Grove Rd Bloomfield CT 06002-3060 |
Practice Telephone | 8602428756 |
Practice Fax Number | 8602423052 |
Mailing Telephone | 8602428756 |
Mailing Fax Number | 8602423052 |
Enumeration Date | 2005-07-05 |
Last Update Date | 2017-01-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
000729 | CT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | MEDICARE | D400341167 | 01 |
CT | 008057590 | 05 | |
CT | RAILROAD MEDICARE | P01758342 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699203174 | Gabriella Marcia Smith | Physical Therapist | 2301 Yale Blvd Se Ste A3, Albuquerque, NM 87106-4350 | 2017-05-30 |
1730706615 | Gabriella Smith | Occupational Therapist | 11661 Granada St, Leawood, KS 66211-1473 | 2020-06-26 |
1104489699 | Gabriella Lynne Smith | Student in an Organized Health Care Education/Training Program | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2019-04-19 |
1558812024 | Gabriella Concetta Smith | Physician Assistant | 1924 Piedmont Rd Ne, Atlanta, GA 30324-4117 | 2016-10-20 |
Street Address |
711 COTTAGE GROVE RD |
City | BLOOMFIELD |
State | CT |
Zip Code | 06002-3060 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437793098 | Alyssa Porter | Nurse Practitioner | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2019-11-06 |
1740832039 | Danielle Klimowicz | Physician Assistant | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2019-07-16 |
1730569740 | Jason M. Cornelio | Physician Assistant | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2015-06-04 |
1134528946 | Lynne Benjamin | Nurse Practitioner | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2014-08-18 |
1659611978 | Melanie Dulce Ricafort | Nurse Practitioner | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2013-02-22 |
1487985065 | Erin M Vincent | Physician Assistant | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2010-01-21 |
1013144369 | Tracy E Patel | Internal Medicine | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2009-06-14 |
1861688772 | Brett Nowlan | Internal Medicine | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2007-09-25 |
1205035516 | Aileen Ingal | Internal Medicine | 711 Cottage Grove Rd, Bloomfield, CT 06002 | 2007-07-16 |
1194773564 | Jawad Haider | Internal Medicine | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2006-05-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
Find all providers in zip 06002 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346397676 | Neha Batheja | Physician Assistant | 24 East Wintonbury Ave, Bloomfield, CT 06002-3119 | 2007-01-05 |
1609890698 | Jesse E Hill | Physician Assistant | 47 Jolley Drive, Bloomfield, CT 06002 | 2006-07-26 |
1861047698 | Taylor Pozan | Physician Assistant | 43141 Woodward Ave, Bloomfield, MI 48302-5005 | 2019-08-08 |
1740832039 | Danielle Klimowicz | Physician Assistant | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2019-07-16 |
1477027175 | Karli King | Physician Assistant | 2 Northwestern Dr, Bloomfield, CT 06002-3480 | 2019-01-15 |
1730569740 | Jason M. Cornelio | Physician Assistant | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2015-06-04 |
1487985065 | Erin M Vincent | Physician Assistant | 711 Cottage Grove Rd, Bloomfield, CT 06002-3060 | 2010-01-21 |
1770704918 | Danielle Harfoot | Physician Assistant | 44038 Woodward Ave, Suite 101, Bloomfield, MI 48302 | 2007-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578163671 | Kirsten Alexandra Drobiak | Physician Assistant | 37 Jennifer Ln, Griswold, CT 06351-3500 | 2020-10-28 |
1255955019 | Amanda Uscilla | Physician Assistant | 20 Hilltop Rd, Bethany, CT 06524-3514 | 2020-06-07 |
1689208571 | Sage Ann Miele | Physician Assistant | 149 Water St Apt 32, Norwalk, CT 06854-3758 | 2020-02-28 |
1790319655 | Erin Kelly Flynn | Physician Assistant | 464 Congress Ave # Suie260, New Haven, CT 06519-1361 | 2020-02-28 |
1659919702 | Jeniece Kayla Wert | Physician Assistant | 100 Church Street South, Suite A230 Room A235, New Haven, CT 06519-1703 | 2019-12-18 |
1811547508 | Gabriela M Vargas | Physician Assistant | 24 Hospital Ave # Tower7, Danbury, CT 06810-6099 | 2019-09-16 |
1275192049 | Molly J Mable | Physician Assistant | 282 Washington St Fl 1, Hartford, CT 06106-3322 | 2019-06-06 |
1003377631 | Stephan Anton Bayer | Physician Assistant | 205 Elm St Apt 5, West Haven, CT 06516-4659 | 2019-03-27 |
1578024105 | Vance P Baughman | Physician Assistant | 325 Lafayette St Unit 1003, Bridgeport, CT 06604-5472 | 2019-03-27 |
1588121354 | Jason Michael Nies | Physician Assistant | 20 York St # 218, New Haven, CT 06510-3220 | 2019-02-27 |
Find all providers with the same taxonomy |
City | BLOOMFIELD |
Zip Code | 06002 |
Please comment or provide details below to improve the information on MRS. GABRIELLA ELIZABETH SMITH.
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.