MS. TRACI MARANDO (NPI# 1811181126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811181126 |
| Entity Type | Individual |
| Full Name | MS. TRACI MARANDO |
| Credential | APRN |
| Practice Address |
20 Madrina Lane Madison CT 06443 |
| Mailing Address |
800 Village Walk Ste 241 Guilford CT 06437-2762 |
| Practice Telephone | 2037475282 |
| Practice Fax Number | 2032301102 |
| Mailing Telephone | 2037475282 |
| Mailing Fax Number | 2032301102 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2020-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
003652 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CT. STATE LICENSE | 067124 | 01 |
| CT | ANCC | 2007003895 | 01 |
| Street Address |
20 MADRINA LANE |
| City | MADISON |
| State | CT |
| Zip Code | 06443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194127506 | Heather R. Clinton | Social Worker | 847 West Main Street, Suite 3, Branford, CT 06443 | 2014-09-17 |
| 1477973378 | Katrina Louise Furey | Psychiatry & Neurology | 147 Durham Rd Ste 12a-ne, Madison, CT 06443 | 2014-04-18 |
| 1972920114 | Elizabeth Laberee | Internal Medicine | 80 Devonshire Lane, Madison, CT 06443 | 2014-03-26 |
| 1588007314 | Avery Grauer | Psychiatry & Neurology | 175 Copse Road, Madison, CT 06443 | 2013-04-11 |
| 1295077790 | Gordon Seth Cohen | Pathology | 3 Silo Hill Road, Madison, CT 06443 | 2013-03-22 |
| 1073750493 | Darlene F. Talavera | Occupational Therapist | 22 Overshore Drive, Madison, CT 06443 | 2009-01-08 |
| 1013182518 | Susan Jean Isaac | Social Worker | 105 Winding Road, Unit 2, Madison, CT 06443 | 2008-04-25 |
| 1083893606 | Kornelia Keszler, Md, PC | Internal Medicine | 1-b Meigswood Ave, Madison, CT 06443 | 2007-10-31 |
| 1790803419 | Linda L. Young | Social Worker | 2 Samson Rock Drive, Unit 2g, Madison, CT 06443 | 2007-03-27 |
| 1912058389 | Brian Sawchuk | Dentist | 25 Durham Road, Madison, CT 06443 | 2007-01-14 |
| Find all providers in zip 06443 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407402795 | Martha Rainey Daniels | Nurse Practitioner | 509 Highleadon Cv, Madison, MS 39110-7465 | 2019-08-13 |
| 1376081570 | Theresa Laggis | Nurse Practitioner | 85 Wall St Fl 1, Madison, CT 06443-3121 | 2017-02-08 |
| 1235500489 | Shawn Brady | Nurse Practitioner | 510 Hospital Dr Ste 260, Madison, TN 37115-5027 | 2015-10-14 |
| 1598045197 | Susan Ann Flannigan | Nurse Practitioner | 16 Tuxis Rd, Madison, CT 06443-3026 | 2011-08-26 |
| 1316926553 | Sue St Clair | Nurse Practitioner | 620 Gallatin Pike S, Suite 214, Madison, TN 37115-4013 | 2006-01-16 |
| 1427039353 | Amy Jean Miller | Nurse Practitioner | 2727 Marshall Ct, Madison, WI 53705-2255 | 2005-11-08 |
| 1710510680 | The Gaetani Center | Nurse Practitioner | 71 Bradley Rd Unit 6, Madison, CT 06443-2662 | 2020-02-19 |
| 1851922322 | Joy Elizabeth Robinson | Nurse Practitioner | 223 Madison St Ste 103, Madison, TN 37115-3660 | 2020-02-03 |
| 1174161749 | Heather Greer | Nurse Practitioner | 510 Hospital Dr Ste 260, Madison, TN 37115-5027 | 2019-12-13 |
| 1336786714 | Sarah Jane Miller | Nurse Practitioner | 708 Will Halsey Way, Madison, AL 35758-2565 | 2019-12-05 |
| Find all providers in MADISON | ||||
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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.