MILLICENT M MALCOLM LLC (NPI# 1811037690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811037690 |
| Entity Type | Organization |
| Organization Name | MILLICENT M MALCOLM LLC |
| Practice Address |
369 Baileyville Rd Middlefield CT 06455 |
| Practice Telephone | 8603491116 |
| Practice Fax Number | 8603491116 |
| Mailing Telephone | 8603491116 |
| Mailing Fax Number | 8603491116 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | MRS. MILLICENT MARIE MALCOLM (OWNER) |
| Authorized Official Telephone | 8606148154 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 002258 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004208296 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MILLICENT M MALCOLM LLC | 369 Baileyville Rd, Middlefield, CT 06455 |
| Street Address |
369 BAILEYVILLE RD |
| City | MIDDLEFIELD |
| State | CT |
| Zip Code | 06455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710547096 | Jeremy R Carroll | Acupuncturist | 474 Main Street, Middlefield, CT 06455 | 2019-06-18 |
| 1154455699 | Regional School District 13 | Local Education Agency (LEA) | 124 Hubbard Street, Middlefield, CT 06455-0446 | 2007-03-15 |
| 1346691300 | Connecticut Behavior Consultants LLC | Community/Behavioral Health | 42 Valleyview Dr, Middlefield, CT 06455-1004 | 2016-06-30 |
| 1851912745 | Ben's Behavioral Health | Behavioral Analyst | 42 Valleyview Dr, Middlefield, CT 06455-1004 | 2020-05-01 |
| 1598021123 | Elisabeth H Frimberger | Psychiatry & Neurology | 255 Baileyville Rd, Middlefield, CT 06455-1014 | 2012-04-09 |
| 1265934103 | Inspire Recovery LLC | Counselor | 6 Way Rd Ste 138, Middlefield, CT 06455-1080 | 2018-03-07 |
| 1689660052 | Stephen Martin Fowler | Chiropractor | 6 Way Rd, Middlefield, CT 06455-1080 | 2005-09-21 |
| 1285135855 | Mcgrath's Home Care Services, LLC | Home Health | 6 Way Rd, Middlefield, CT 06455-1080 | 2018-02-28 |
| 1700384856 | Tricircle, Inc. | Clinic/Center | 6 Way Rd, Middlefield, CT 06455-1080 | 2018-01-24 |
| 1639521305 | Mdft Connecticut, LLC | Community/Behavioral Health | 6 Way Rd, Middlefield, CT 06455-1080 | 2016-07-06 |
| Find all providers in zip 06455 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454234 | Luiza Mcdonagh | Nurse Practitioner | 228 Willow Spgs, New Milford, CT 06776-4367 | 2020-10-14 |
| 1396342051 | Michele Lalonde Curiel | Nurse Practitioner | 55 Glen Pl, Glastonbury, CT 06033-2483 | 2020-10-06 |
| 1700492006 | Mijung Kim | Nurse Practitioner | 3124 Avalon Dr W, New Canaan, CT 06840-5944 | 2020-09-22 |
| 1396358404 | Rachel Elizabeth Paternoster | Nurse Practitioner | 52 Peck Rd Ste G, Torrington, CT 06790-6107 | 2020-08-28 |
| 1043823347 | Yunmin Chen | Nurse Practitioner | 269 Spring Rd, North Haven, CT 06473 | 2020-08-26 |
| 1881206555 | Suzanne Gleichauf | Nurse Practitioner | 7 Fleetwood Ln, Brookfield, CT 06804-3204 | 2020-08-23 |
| 1477165041 | Angelica M. Arteaga-blasio | Nurse Practitioner | 47 East Ave, Stamford, CT 06902-6116 | 2020-08-17 |
| 1598376162 | Jody Kusheba | Nurse Practitioner | 72 Cottage St, Monroe, CT 06468-2917 | 2020-08-16 |
| 1982213997 | Bryan Fix | Nurse Practitioner | 33 Rugby Rd, Shelton, CT 06484-1683 | 2020-07-26 |
| 1033735378 | Carmel M Keaveney | Nurse Practitioner | 3 Teregram Pl, Westport, CT 06880-2558 | 2020-06-23 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEFIELD |
| Zip Code | 06455 |
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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.