MARANDA HYDE (NPI# 1730713512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730713512 |
| Entity Type | Individual |
| Full Name | MARANDA HYDE |
| Credential | MPH, MSN, PNP-PC |
| Practice Address |
50 Grand Ave New Haven CT 06513-3949 |
| Mailing Address |
226 Bishop St Fl 3 New Haven CT 06511-3718 |
| Practice Telephone | 2037777411 |
| Mailing Telephone | 5074508262 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
153396 | CT | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
9041 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Lock St, New Haven, CT 065113603 | 2034320206 |
| Street Address |
50 GRAND AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06513-3949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609206135 | Spretha Kadavath | Dentist | 50 Grand Ave, New Haven, CT 06513 | 2013-11-19 |
| 1851868889 | Chikaodili Olusola Obidike | Dentist | 50 Grand Ave, New Haven, CT 06513-3949 | 2018-10-29 |
| 1558855049 | Leah Marie Mawhinney | Advanced Practice Midwife | 50 Grand Ave, New Haven, CT 06513-3949 | 2018-06-18 |
| 1295225407 | Annette Lilianna Nasiadka | Dental Hygienist | 50 Grand Ave, New Haven, CT 06513-3949 | 2018-05-14 |
| 1427583400 | Victoria Rose Massey | Dentist | 50 Grand Ave, New Haven, CT 06513-3949 | 2017-04-27 |
| 1922531920 | Chana Schaffer | Advanced Practice Midwife | 50 Grand Ave, New Haven, CT 06513-3949 | 2017-04-06 |
| 1811372469 | Fair Haven Community Health Clinic, Inc | Dentist | 50 Grand Ave, New Haven, CT 06513-3949 | 2015-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366906141 | Edward Rivera | Case Manager/Care Coordinator | 458 Grand Ave., Suite 103, New Haven, CT 06513 | 2019-01-25 |
| 1134698442 | Village of Angels Home Health Care LLC | Respite Care | 470 James Street, Suite 007, New Haven, CT 06513 | 2018-11-15 |
| 1609358068 | Sarah Khalil | Pharmacist | 745 Foxon Road, East Haven, CT 06513 | 2018-09-02 |
| 1912358375 | Domanice Poindexter | Nurse Practitioner | Caremore Health, 444 Foxon Rd, East Haven, CT 06513 | 2016-06-28 |
| 1568839876 | My Fair Haven Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Grand Ave, New Haven, CT 06513 | 2015-08-24 |
| 1871979567 | Sankofa Counseling LLC | Community/Behavioral Health | 64 Thompson St Ste A101, East Haven, CT 06513 | 2015-08-04 |
| 1578967287 | Curtis Stewart | Pharmacy Technician | 661 Thompson Street, East Haven, CT 06513 | 2014-10-09 |
| 1548686322 | Davis Group LLC | Social Worker | 30 Grand Ave, New Haven, CT 06513 | 2014-03-17 |
| 1124459615 | James Lucas IIi | Dietitian, Registered | 167 Old Foxon Road, Unit 30b, New Haven, CT 06513 | 2013-12-09 |
| 1992134878 | Joon Lee | Occupational Therapist | 918 Quinnipiac Ave #2, New Haven, CT 06513 | 2013-11-01 |
| Find all providers in zip 06513 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174951669 | Bela Kirit Dharia | Nurse Practitioner | 55 Lock Street, Yale Health, New Haven, CT 06511-3603 | 2013-10-22 |
| 1841566775 | Leora Hauptman | Nurse Practitioner | 330 Cedar St # 4093, New Haven, CT 06510-3218 | 2012-03-26 |
| 1790909620 | Jayne Foster Linley | Nurse Practitioner | 102 Nash Street, New Haven, CT 06511 | 2007-04-12 |
| 1194842575 | Susan Marie Peters | Nurse Practitioner | 139 Orchard Street, New Haven, CT 06519 | 2007-03-23 |
| 1922165141 | Martha K Swartz | Nurse Practitioner | 789 Howard Ave., Yale New Haven Hospital Pediatric Primary Care Center, New Haven, CT 06510 | 2007-01-03 |
| 1356416747 | Denise Catherine Wagner | Nurse Practitioner | Yale-new Haven Hospital, 20 York Street, Primary Care Center, New Haven, CT 06510 | 2006-11-21 |
| 1174694798 | Nicole Langan Maciejak | Nurse Practitioner | 35 Davis Street, Sbhc, New Haven, CT 06515-1601 | 2006-11-13 |
| 1033224670 | Ivette Becerra Ortiz | Nurse Practitioner | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-08-21 |
| 1619901535 | Earlene Jane Peckham | Nurse Practitioner | 191 Fountain St, New Haven, CT 06515-1901 | 2006-07-10 |
| 1174510440 | Jane Lawrence-riddell | Nurse Practitioner | 1 Long Wharf Dr, Suite 105, New Haven, CT 06511-5991 | 2005-10-03 |
| Find all providers in NEW HAVEN | ||||
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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.