MARY CATHERINE D'AMICO (NPI# 1710312533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710312533 |
| Entity Type | Individual |
| Full Name | MARY CATHERINE D'AMICO |
| Other Name | MARY TEBO |
| Credential | APRN |
| Practice Address |
71 Westcott Rd Danielson CT 06239-2929 |
| Mailing Address |
2 Waterside Xing Ste 401 Windsor CT 06095-1587 |
| Practice Telephone | 8607747179 |
| Practice Fax Number | 8607796526 |
| Mailing Telephone | 8607315522 |
| Mailing Fax Number | 8607315536 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2019-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5515 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
005515 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
005515 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 153 Hazard Ave Ste 401, Enfield, CT 060824592 | 8602535020 | 8602535030 |
| 444 Center St, Manchester, CT 060403926 | 8606463888 | 8607315536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851549786 | Mary C D'amico | Behavioral Analyst | 46 Elbert Ct, Ramsey, NJ 07446-1011 | 2008-09-04 |
| 1104013812 | Mary Beth D'amico | Counselor | 5 West Cayuga St, Integrative Services Inc., Oswego, NY 13126 | 2007-09-26 |
| 1770967358 | Mary Beth D'amico | Nurse Practitioner | 1665 Woodbrooke Dr, Salisbury, MD 21804-8502 | 2015-07-14 |
| 1720328602 | Mary Schweitzer D'amico | Physical Therapist | 150 Van Buren St, Newark, NY 14513-1238 | 2013-02-28 |
| Street Address |
71 WESTCOTT RD |
| City | DANIELSON |
| State | CT |
| Zip Code | 06239-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868787 | Corrie J Cirelli | Counselor | 71 Westcott Rd, Danielson, CT 06239-2929 | 2019-12-13 |
| 1366927261 | Lisa Mazzola | Student in an Organized Health Care Education/Training Program | 71 Westcott Rd, Danielson, CT 06239-2929 | 2018-09-27 |
| 1306345467 | Lisa Soule | Counselor | 71 Westcott Rd, Danielson, CT 06239-2929 | 2018-02-05 |
| 1104325257 | Susan Chartier | Counselor | 71 Westcott Rd, Danielson, CT 06239-2929 | 2018-02-05 |
| 1356878805 | Rhianna Gingras | Counselor | 71 Westcott Rd, Danielson, CT 06239-2929 | 2017-05-16 |
| 1164870200 | Kristin Allard | Counselor | 71 Westcott Rd, Danielson, CT 06239 | 2016-05-31 |
| 1053768713 | Richard Hisman | Counselor | 71 Westcott Rd, Danielson, CT 06239-2929 | 2016-05-23 |
| 1932500055 | Nicholas Pantuosco | Counselor | 71 Westcott Rd, Danielson, CT 06239-2929 | 2014-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871075218 | Brooke Fell | Licensed Practical Nurse | 391 Pomfret Avenue, Putnam, CT 06239 | 2018-09-01 |
| 1780920215 | Donna Johnston | Social Worker | 70 Cottage Street, Danielson, CT 06239 | 2013-01-03 |
| 1194935718 | Ralph T Campagna | Hearing Instrument Specialist | 594 Putnam Road, Danielson, CT 06239 | 2007-05-23 |
| 1609095868 | Danielson Pharmacy Inc | Pharmacy | 77 A Westcott Rd, Danielson, CT 06239 | 2007-04-25 |
| 1366515207 | Gary Edward Hartell | Chiropractor | 100 Broad Street, Danielsen, CT 06239 | 2006-11-16 |
| 1336223668 | Daniel E Fiore | Pharmacist | 42 Reynolds Street, Danielson, CT 06239 | 2006-10-24 |
| 1730555012 | Anastasia Zhuk Guc | Nurse Practitioner | 87 Westcott Rd, Danielson, CT 06239 | 2015-08-20 |
| 1033283197 | Optometric Associates of Danielson PC | Optometrist | 419 Main St, Danielson, CT 06239 | 2006-11-20 |
| 1417046830 | Cranston Archer Briggs | Optometrist | 419 Main St, Danielson, CT 06239 | 2006-10-12 |
| 1013918408 | Kb Ambulance Corps, Inc. | Ambulance | 294 Westcott Road, Danielson, CT 06239-0209 | 2005-08-09 |
| Find all providers in zip 06239 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316953748 | Hope B Barton | Nurse Practitioner | 87 Westcott Rd, Danielson, CT 06239-2929 | 2006-07-31 |
| 1831443001 | Mary Ann Melissa Savaria | Nurse Practitioner | 111 Westcott Rd, Danielson, CT 06239-2929 | 2012-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997847 | Rachel Sarmento | Nurse Practitioner | 13 Sanford Dr, Shelton, CT 06484-5507 | 2020-09-23 |
| 1699399618 | Ann Monica Boisvert | Nurse Practitioner | 5 Perryridge Rd Ste 2-248, Greenwich, CT 06830-4608 | 2020-06-05 |
| 1861041121 | Huong T Nguyen | Nurse Practitioner | 400 Capital Blvd Ste 3, Rocky Hill, CT 06067-3576 | 2019-09-10 |
| 1598319980 | Daniella Gould | Nurse Practitioner | 75 Kings Highway Cutoff Ofc, Fairfield, CT 06824-5340 | 2019-07-24 |
| 1770042038 | Linda Lee Meyer | Nurse Practitioner | 320 Lakeview Ave, Waterbury, CT 06705-2145 | 2019-03-17 |
| 1942766761 | Lawrence M Anderson | Nurse Practitioner | 92 Harwood Rd, Waterbury, CT 06706-2420 | 2019-02-17 |
| 1912497751 | Catherine Rice | Nurse Practitioner | 25 Commerce Rd, Newtown, CT 06470-1607 | 2018-05-17 |
| 1407346323 | Irene D Gumboc | Nurse Practitioner | 99 Starr St, Norwich, CT 06360-4025 | 2018-05-16 |
| 1326546839 | Kristin Holly Van Horn | Nurse Practitioner | Winchester Chest Clinic, 789 Howard St, New Haven, CT 06510 | 2018-01-30 |
| 1891207411 | Michelene Wray | Nurse Practitioner | 474 Cowperthwaite St Apt C, Danbury, CT 06811-5518 | 2017-11-05 |
| 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.