MS. SANDRA JEAN KISSEL (NPI# 1811347305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811347305 |
| Entity Type | Individual |
| Full Name | MS. SANDRA JEAN KISSEL |
| Credential | APRN |
| Practice Address |
126 Dowd Ave Canton CT 06019-2400 |
| Mailing Address |
126 Dowd Ave Po Box 452 Canton CT 06019-2400 |
| Practice Telephone | 8606938809 |
| Practice Fax Number | 8606930141 |
| Mailing Telephone | 8606938809 |
| Mailing Fax Number | 8606930141 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |
| 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 |
12.006552 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
126 DOWD AVE |
| City | CANTON |
| State | CT |
| Zip Code | 06019-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689713166 | Focus Alternative Learning Center, Inc. | Community/Behavioral Health | 126 Dowd Ave, Canton, CT 06019-2400 | 2007-02-05 |
| 1942675004 | Maeghen Harris | Social Worker | 126 Dowd Ave, Canton, CT 06019-2400 | 2015-12-01 |
| 1013393560 | Daniel Sitcovsky | Social Worker | 126 Dowd Ave, Canton, CT 06019-2400 | 2015-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912532953 | Canton Geriatrics Pllc | Clinic/Center | 461 Cherry Brook Road, Canton, CT 06019 | 2020-03-10 |
| 1245877638 | Cara Noel Donahue | Social Worker | Farmington Valley Counseling Center, 111 Simsbury Rd, Avon, CT 06019 | 2019-12-04 |
| 1629614953 | Reformed Nutrition LLC | Dietitian, Registered | 220 Albany Turnpike, Unit 1, Canton, CT 06019 | 2019-11-21 |
| 1144607367 | Jordan Sileo Wasik | Counselor | 20 Depot St., Collinsville, CT 06019 | 2015-04-27 |
| 1578957361 | Glaser Helpers, Inc. | Home Health | 6 Wickhams Fancy, Collinsville, CT 06019 | 2015-03-19 |
| 1346686136 | Anna Sastre | Family Medicine | 117 Albany Turnpike, Canton, CT 06019 | 2013-05-20 |
| 1356698856 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 111 Albany Turnpike, Canton, CT 06019 | 2012-08-14 |
| 1881858959 | Connecticut Foot Specialists PC | Podiatrist | 259 Albany Turnpike, Suite C, Canton, CT 06019 | 2008-07-17 |
| 1073734505 | Matthew Keefe | Dentist | 191 Albany Turnpike, Canton, CT 06019 | 2007-05-01 |
| 1710092432 | Gerard Edward-zackary Bogucki | Dentist | 66 Maple Avenue, Collinsville, CT 06019 | 2006-08-20 |
| Find all providers in zip 06019 | ||||
| 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 |
|---|---|---|---|---|
| 1922666866 | Bright Minds Psychiatry,pllc | Nurse Practitioner | 575 Washington St Ste 1b, Canton, MA 02021-3011 | 2019-06-05 |
| 1366914970 | Nancy Louise Bennett | Nurse Practitioner | 328 E Otto St, Canton, MS 39046-4324 | 2018-12-20 |
| 1790227544 | Priscilla Anne Rice | Nurse Practitioner | 1271 Fulton Rd Nw, Canton, OH 44703-1463 | 2016-11-10 |
| 1306824784 | Kathy E Green | Nurse Practitioner | 80 State St # 310, Canton, NY 13617-1026 | 2006-01-05 |
| 1053944298 | Megen Yerman | Nurse Practitioner | 624 Market Ave N, Canton, OH 44702-1017 | 2020-02-17 |
| 1285279901 | Grace Elizabeth Maxton | Nurse Practitioner | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2019-11-18 |
| 1417502535 | Tiffany Nichol Brown | Nurse Practitioner | 1223 Market Ave N, Canton, OH 44714-2603 | 2019-08-06 |
| 1568022051 | Christopher Fogarty | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2019-06-17 |
| 1184105223 | Elizabeth Pfalzgraf | Nurse Practitioner | 919 2nd St Ne, Canton, OH 44704-1132 | 2018-08-27 |
| 1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
| Find all providers in CANTON | ||||
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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.