EAST HARTFORD PEDIATRIC, LLC. (NPI# 1700898764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700898764 |
| Entity Type | Organization |
| Organization Name | EAST HARTFORD PEDIATRIC, LLC. |
| Practice Address |
893 Main St Suite 303 East Hartford CT 06108-2292 |
| Mailing Address |
21 Paul Spring Rd Farmington CT 06032 |
| Practice Telephone | 8602893047 |
| Practice Fax Number | 8605284735 |
| Mailing Telephone | 8606761135 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2014-12-02 |
| Authorized Official Name | DR. JAYASHREE VENKATESH (PHYSICIAN) |
| Authorized Official Telephone | 8602893047 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
002155 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 172V00000X | Community Health Worker | 034733 | CT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001347336 | 05 | |
| CT | 008035516 | 05 |
| Street Address |
893 MAIN ST SUITE 303 |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06108-2292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013994706 | Diane Sanchez | Nurse Practitioner | 893 Main St, Suite 202, East Hartford, CT 06108-2292 | 2005-12-23 |
| 1023406378 | Jennifer Worley | Physical Therapist | 893 Main St, #302, East Hartford, CT 06108 | 2015-01-08 |
| 1891045399 | Lowell Marlow Windon IIi | Physical Therapist | 893 Main St, Suite 302, East Hartford, CT 06108 | 2012-09-12 |
| 1265721963 | Patricia A Samuels | Nurse Practitioner | 893 Main St, Suite 101, East Hartford, CT 06108-2292 | 2011-04-04 |
| 1447487723 | Jayashree Venkatesh | Pediatrics | 893 Main St, Suite 303, East Hartford, CT 06108-2292 | 2009-06-15 |
| 1891919338 | Dr. Thomas J. Prignano | Optometrist | 893 Main St, Suite 201, East Hartford, CT 06108-2292 | 2007-04-13 |
| 1225194749 | Nancy Devanna-miller | Physician Assistant | 893 Main St, East Hartford Family Medicine Suite 101, East Hartford, CT 06108-2292 | 2006-12-29 |
| 1851311435 | Mohammad Mustafizar Rahman | Internal Medicine | 893 Main St, Suite 202, East Hartford, CT 06108-2292 | 2006-07-19 |
| 1093778722 | Andrew Feller | Family Medicine | 893 Main St, Suite 101, East Hartford, CT 06108-2292 | 2006-04-12 |
| 1649241647 | Thomas J Prignano | Optometrist | 893 Main St, Suite 201, East Hartford, CT 06108-2292 | 2006-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437435 | Decent Homecare Services LLC | Homemaker | 527 Burnside Avenue, Suite 1, East Hartford, CT 06108 | 2020-04-27 |
| 1164055810 | First Choice Health Center Inc | Durable Medical Equipment & Medical Supplies | 110 Connecticut Blbd, East Hartford, CT 06108 | 2020-02-20 |
| 1457848731 | Heavenly Care LLC | Home Health | 35 Greene Terrace, East Hartford, CT 06108 | 2018-04-22 |
| 1750894275 | Thamara Vanessa Jonathas | Nurse Practitioner | 477 Connecticut Blvd Ste 119, East Hartford, CT 06108 | 2017-11-06 |
| 1851802474 | Empathic Care Counseling LLC | Counselor | 357 East Center Street, Manchester, CT 06108 | 2017-10-23 |
| 1235654427 | Kacey Megquier | Specialist/Technologist | 132 Arbutus Street, East Hartford, CT 06108 | 2017-08-08 |
| 1225559826 | First Choice Health Centers, Inc. | Clinic/Center | 809 Main Street, East Hartford, CT 06108 | 2017-07-05 |
| 1205361599 | Freda Osei-parker | Pharmacist | 16a Saint Regis Street, East Hartford, CT 06108 | 2017-04-25 |
| 1831648740 | Marcia Loving Care Home Care Agency | Home Health | 23 Bidwell Street, East Hartford, CT 06108 | 2016-10-04 |
| 1770932642 | First Choice Health Centers, Inc. | Clinic/Center | 92 Connecticut Boulevard, East Hartford, CT 06108 | 2016-06-10 |
| Find all providers in zip 06108 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003313065 | Brandon Lamar Holley | Community Health Worker | 76 Phelps St, East Hartford, CT 06108-2259 | 2018-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869029 | Deserie Aline Clack-wilson | Community Health Worker | 1000 Lafayette Blvd Ste 1128, Bridgeport, CT 06604-4725 | 2020-07-29 |
| 1679194245 | Nicole S Barstow | Community Health Worker | 49 Day St Apt 213, Norwalk, CT 06854-4903 | 2020-05-05 |
| 1881232767 | W & J Homecare | Community Health Worker | 847 W Main St Ste 2r, Branford, CT 06405-3456 | 2019-12-11 |
| 1548708951 | Alyssa Marchese | Community Health Worker | 66 Ring St, Putnam, CT 06260-2116 | 2017-02-06 |
| 1124564646 | Linda B Lemnotis | Community Health Worker | 228 West St, Plantsville, CT 06479-1145 | 2017-01-08 |
| 1306393947 | Eric Washington | Community Health Worker | 34 Spindle Hill Road, Wellmore Inc Valiant House, Wolcott, CT 06716-1732 | 2016-09-01 |
| 1336529445 | Amy Kathryn Damato | Community Health Worker | 19 Saddle Hill Cir, Newington, CT 06111-1826 | 2015-06-03 |
| 1003203985 | Sascha Ilana Van Creveld | Community Health Worker | 345 Stevenson Rd, New Haven, CT 06515-2470 | 2015-04-19 |
| 1356734206 | Naida R Rosado | Community Health Worker | 188 Faber Ave, Waterbury, CT 06704-1832 | 2015-03-16 |
| 1477943298 | Amanda Potter | Community Health Worker | 16 Old Barn Rd, East Windsor, CT 06088-1726 | 2015-02-01 |
| Find all providers with the same taxonomy | ||||
| City | EAST HARTFORD |
| Zip Code | 06108 |
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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.