KATHERINE KREVOLIN (NPI# 1871149153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871149153 |
| Entity Type | Individual |
| Full Name | KATHERINE KREVOLIN |
| Credential | FNP-C |
| Practice Address |
53 Ferncliff Dr West Hartford CT 06117-1013 |
| Practice Telephone | 8602807474 |
| Mailing Telephone | 8602807474 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8472 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
53 FERNCLIFF DR |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06117-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154817237 | Mmp Therapy and Consulting | Community/Behavioral Health | 2475 Albany Avenue, West Hartford, CT 06117 | 2018-07-02 |
| 1669856555 | Noah Joseph Bluestone | Psychologist | 68 Soutth Main St, Suite 202, West Hartford, CT 06117 | 2015-07-10 |
| 1487040747 | Nancy Cabelus | Registered Nurse | 1678 Asylum Ave. Room 317, University of St. Joseph, West Hartford, CT 06117 | 2015-04-13 |
| 1124384276 | Louis Brown | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 164 Orchard Rd, West Hartford, CT 06117 | 2012-04-03 |
| 1720282882 | Ruth Kahn | Psychologist | 54 Mountain Brook Road, West Hartford, CT 06117 | 2007-06-13 |
| 1437370426 | Dana Orthodontics PC | Dentist | 2446 Albany Avenue, West Hartford, CT 06117 | 2007-05-01 |
| 1972723146 | Michelle Payson | Occupational Therapist | One Abrahms Boulevard, West Hartford, CT 06117 | 2007-04-27 |
| 1457579583 | Kathy A Mccloskey | Psychologist | 200 Bloomfield Avenue, University of Hartford, West Hartford, CT 06117 | 2007-04-23 |
| 1427181585 | Nancy L White | Naturopath | 10 Crossroads Plaza, West Hartford, CT 06117 | 2007-03-14 |
| 1689743452 | August C Olivar | Obstetrics & Gynecology | 2437 Albany Avenue, Suite 202, West Hartford, CT 06117 | 2006-11-07 |
| Find all providers in zip 06117 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639739915 | Julie Nicole Rome | Nurse Practitioner | 345 N Main St Ste 112, West Hartford, CT 06117-2508 | 2019-06-18 |
| 1023533353 | Marina Creed | Nurse Practitioner | 87 Outlook Avenue, West Hartford, CT 06119-2214 | 2017-08-08 |
| 1518016799 | Judith Lynn Briggs | Nurse Practitioner | 29 Troy St, West Hartford, CT 06119-1757 | 2007-01-09 |
| 1952325813 | Kristine Sterling | Nurse Practitioner | 1030 New Britain Ave, West Hartford, CT 06110-2261 | 2006-07-26 |
| 1285269431 | Shauna Rafferty | Nurse Practitioner | 836 Farmington Ave Ste 207, West Hartford, CT 06119-1544 | 2020-03-09 |
| 1174166987 | Elizabeth Pelletier | Nurse Practitioner | 1030 Boulevard, West Hartford, CT 06119-1801 | 2019-10-24 |
| 1821641671 | Kaitlin Noelle Erickson | Nurse Practitioner | 345 N Main St Ste 112, West Hartford, CT 06117-2508 | 2019-07-22 |
| 1538729702 | Naomi Mara Sydney | Nurse Practitioner | 1030 Boulevard, West Hartford, CT 06119-1801 | 2019-06-19 |
| 1821557026 | Stephanie Lamothe | Nurse Practitioner | 1001 Farmington Ave, West Hartford, CT 06107-2135 | 2019-03-18 |
| 1497224737 | Elayna Kaye | Nurse Practitioner | 785 Farmington Ave, West Hartford, CT 06119-1673 | 2018-11-15 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06117 |
Please comment or provide details below to improve the information on KATHERINE KREVOLIN.
| 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.