JUDITH LYNNE MOSKAL-KANZ (NPI# 1821001454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821001454 |
Entity Type | Individual |
Full Name | JUDITH LYNNE MOSKAL-KANZ |
Credential | APRN |
Practice Address |
95 Scovill St 3rd Floor Waterbury CT 06706-1113 |
Mailing Address |
56 Franklin St 3rd Floor Waterbury CT 06706-1221 |
Practice Telephone | 2037097081 |
Practice Fax Number | 2037097754 |
Mailing Telephone | 2037098873 |
Mailing Fax Number | 2037098689 |
Enumeration Date | 2006-08-14 |
Last Update Date | 2007-09-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
001378 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
95 SCOVILL ST 3RD FLOOR |
City | WATERBURY |
State | CT |
Zip Code | 06706-1113 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477591097 | Samer Ein Alshaeba | Internal Medicine | 95 Scovill St, Waterbury, CT 06706-1113 | 2006-06-04 |
1831580745 | Staywell Health Care Inc | Clinic/Center | 95 Scovill St, 3rd Floor Pavillion B, Waterbury, CT 06706-1113 | 2015-02-13 |
1588961742 | Kathryn Anne Loughlin | Social Worker | 95 Scovill St, Pavillion B, 3rd Floor, Waterbury, CT 06706-1113 | 2011-02-23 |
1285892703 | Allyson Lynn Rovetto | Pediatrics | 95 Scovill St, 3rd Floor, Pavilion B, Waterbury, CT 06706-1113 | 2008-05-30 |
1760678965 | Jennifer Voisine Kloze | Pharmacist | 95 Scovill St, Waterbury, CT 06706-1113 | 2007-09-20 |
1023139391 | Mary Ann Rourke | Social Worker | 95 Scovill St, 3rd Floor, Waterbury, CT 06706-1113 | 2007-04-03 |
1699896902 | Christine Cunningham | Social Worker | 95 Scovill St, 3rd Floor, Waterbury, CT 06706-1113 | 2007-04-03 |
1245321553 | Alan Richard Malina | Internal Medicine | 95 Scovill St, Waterbury, CT 06706-1113 | 2006-09-28 |
1497771208 | Richard Shea | Pediatrics | 95 Scovill St, 3rd Floor, Waterbury, CT 06706-1113 | 2006-07-14 |
1568495604 | Shawnette Ann Alston | Internal Medicine | 95 Scovill St, 3rd Floor, Waterbury, CT 06706-1113 | 2006-07-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245750538 | Sameerah Ibtisam Rehmani | Internal Medicine | St Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706 | 2017-06-27 |
1417208448 | Sherry L Gatling | Durable Medical Equipment & Medical Supplies | 394 Mill Street, 2nd Flr N, Waterbury, CT 06706 | 2012-10-01 |
1144505538 | Amanda Maria Delcavo | Physician Assistant | 50 Franklin Street, Waterbury, CT 06706 | 2011-10-17 |
1508097031 | Lauren K Ayr-volta | Clinical Neuropsychologist | 133 Scovill Street, Suite 211, Waterbury, CT 06706 | 2009-07-31 |
1538206800 | John Chardavoyne | Psychiatry & Neurology | Waterbury Outpatient Clinic, 95 Scovill Street, Waterbury, CT 06706 | 2007-01-30 |
1922111632 | Thomas Owen Genese | Internal Medicine | 56 Franklin Street, St. Mary's Hospital - Dept of Medicine, Waterbury, CT 06706 | 2006-08-16 |
1013942465 | Nancy Lou Kline | Nurse Practitioner | 133 Scovill Street-waterbury Va Community Based Clinic, #203, Waterbury, CT 06706 | 2006-07-12 |
1013455351 | Denisse Burgos-jimenez | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2017-02-07 |
1902255086 | Kaitlyn Jennings | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2016-06-08 |
1366823783 | Yamini Sachan | Internal Medicine | 56 Franklin Street, Waterbury, CT 06706 | 2015-06-11 |
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Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538670955 | Emily Renee Smith | Nurse Practitioner | 56 Franklin St, Waterbury, CT 06706-1253 | 2017-10-12 |
1790993152 | Veronica Guthrie Mansfield | Nurse Practitioner | 70 Pine St, Waterbury, CT 06710-2169 | 2007-05-18 |
1376559492 | Debra M Divenere | Nurse Practitioner | 134 Grandview Ave, Suite 208, Waterbury, CT 06708-2507 | 2006-07-31 |
1598730996 | Meghan Canedy | Nurse Practitioner | 64 Robbins St, Waterbury, CT 06708 | 2006-02-20 |
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1447878855 | Ashley Elusma | Nurse Practitioner | 92 New London Tpke # 1, Norwich, CT 06360-2616 | 2020-07-13 |
1396382792 | Jessca Morcone | Nurse Practitioner | 640 Brookside Dr, Fairfield, CT 06824-2419 | 2019-12-04 |
1790337137 | Elizabeth R Renker | Nurse Practitioner | 97 Barnes Rd Ste 6, Wallingford, CT 06492-1885 | 2019-07-16 |
1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
1487180840 | Meghan Mccarthy Warzoha | Nurse Practitioner | 2001 W Main St Ste 132, Stamford, CT 06902-4544 | 2017-05-04 |
1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
1740602515 | Smart Start Pediatrics | Nurse Practitioner | 27 Sycamore St., Suite 300, Glastonbury, CT 06033 | 2014-01-14 |
1780013102 | Elizabeth Anavy | Nurse Practitioner | 195 Hillandale Ave, Stamford, CT 06902-2823 | 2013-11-06 |
1174951669 | Bela Kirit Dharia | Nurse Practitioner | 55 Lock Street, Yale Health, New Haven, CT 06511-3603 | 2013-10-22 |
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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.