FRESH PATHWAYS (NPI# 1821542408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821542408 |
| Entity Type | Organization |
| Organization Name | FRESH PATHWAYS |
| Practice Address |
57 Plains Rd Milford CT 06461-2573 |
| Mailing Address |
80 Country Ln Milford CT 06461-1943 |
| Practice Telephone | 2039150648 |
| Mailing Telephone | 2039150648 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |
| Authorized Official Name | DR. TANYA R. BASSETT (PSYHIATRIC PROVIDER) |
| Authorized Official Telephone | 2039150648 |
| Authorized Official Credential | DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
005987 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
57 PLAINS RD |
| City | MILFORD |
| State | CT |
| Zip Code | 06461-2573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114916574 | Lisa A Taylor-austin | Counselor | 57 Plains Rd, Suite 2c, Milford, CT 06461-2573 | 2005-10-18 |
| 1306396981 | The Taylor-austin Group, LLC | Counselor | 57 Plains Rd, Suite 2c, Milford, CT 06461-2573 | 2016-10-07 |
| 1932559960 | Naza Bungu | Community/Behavioral Health | 57 Plains Rd, Suite 1b, Milford, CT 06461-2573 | 2016-06-21 |
| 1639526510 | Johanna D. Von Hollinger, Ma, Lmft, LLC | Marriage & Family Therapist | 57 Plains Rd, Suite 1b, Milford, CT 06461-2573 | 2016-05-19 |
| 1730549759 | Living Spring LLC | Psychiatry & Neurology | 57 Plains Rd, Milford, CT 06461-2573 | 2016-03-03 |
| 1942610027 | Adonai Optimal Health and Wellness, LLC | Naturopath | 57 Plains Rd, Milford, CT 06461-2573 | 2014-04-29 |
| 1417396995 | Yvette M Whitton | Naturopath | 57 Plains Rd, Milford, CT 06461-2573 | 2013-06-18 |
| 1336582196 | Marcy M Dolan | Naturopath | 57 Plains Rd, Milford, CT 06461-2573 | 2013-04-11 |
| 1427316850 | Taryn Zarnetske | Social Worker | 57 Plains Rd, Suite 1e, Milford, CT 06461-2573 | 2012-04-23 |
| 1003198896 | Mary M Georgette | Marriage & Family Therapist | 57 Plains Rd, Suite 2c, Milford, CT 06461-2573 | 2011-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477017648 | Connecticut Orthopaedic Surgery Center, LLC | Clinic/Center | 205 Sub Way Drive, Milford, CT 06461 | 2019-01-22 |
| 1922592732 | Sherry Lucke | Nurse Practitioner | 26 Milford Hunt Ln, Milford, CT 06461 | 2018-06-15 |
| 1609302876 | Michael Romano | Marriage & Family Therapist | 57 Plains Rd Ste 3c, Milford, CT 06461 | 2017-05-10 |
| 1306220868 | Marie Charlene Louisgene | Dental Assistant | 25 Arlmont Street, Milford, CT 06461 | 2015-07-15 |
| 1275920753 | Alicea Corey | Marriage & Family Therapist | 580 Naugatuck Ave, Milford, CT 06461 | 2015-04-22 |
| 1891882478 | David M Brothers | Ophthalmology | 255 W River St, Milford, CT 06461 | 2006-10-06 |
| 1386884294 | Gail Grace Seamonds | Nurse Anesthetist, Certified Registered | 39 Lavery Ln, Milford, CT 06461-1625 | 2009-03-05 |
| 1588085591 | Linda C. Grenus | Occupational Therapist | 48 Wellington Rd, Milford, CT 06461-1641 | 2013-12-17 |
| 1669085692 | Jaclyn Bria | Occupational Therapist | 48 Wellington Rd, Milford, CT 06461-1641 | 2020-08-28 |
| 1477165314 | Brian Ing | Physical Therapist | 48 Wellington Rd, Milford, CT 06461-1641 | 2020-08-21 |
| Find all providers in zip 06461 | ||||
| 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 |
|---|---|---|---|---|
| 1679032163 | Angela Michelle Wagner | Nurse Practitioner | 1077 State Route 28 Ste 202, Milford, OH 45150-4000 | 2019-03-14 |
| 1972867695 | Susan J Boorin | Nurse Practitioner | 120 Broad St, Milford, CT 06460-4725 | 2012-06-27 |
| 1124301023 | Roxann Jean Hackbarth | Nurse Practitioner | 1004 21st St, Suite #3, Milford, IA 51351-7421 | 2011-09-27 |
| 1083748214 | Patrick Lynn Gagnon | Nurse Practitioner | 80 E Broadway Apt D, Milford, CT 06460-6120 | 2007-03-16 |
| 1023195765 | Christine S Simpson | Nurse Practitioner | 45 Wildemere Ave, Milford, CT 06460-5354 | 2006-11-01 |
| 1427168111 | Ruth Sposili | Nurse Practitioner | 11 Norman Cir, Milford, CT 06460-4234 | 2006-08-30 |
| 1245256692 | Laura Giesman | Nurse Practitioner | 52 W Main St, Suite 905, Milford, CT 06460-3310 | 2006-07-15 |
| 1336664598 | Anthony Michael Trezza | Nurse Practitioner | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2017-08-09 |
| 1609391978 | Desiree Marie Thomas | Nurse Practitioner | 247 Broad St, Milford, CT 06460-3273 | 2017-08-08 |
| 1124569157 | Shoreline Neuropsychiatric Services, LLC | Nurse Practitioner | 215 Broad St, Unit 2w, Milford, CT 06460-4760 | 2017-03-09 |
| Find all providers in MILFORD | ||||
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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.