CLARICE BEGEMANN (NPI# 1902900053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902900053 |
| Entity Type | Individual |
| Full Name | CLARICE BEGEMANN |
| Credential | APRN |
| Practice Address |
374 Grand Avenue Fair Haven Community Health Ctr New Haven CT 06513 |
| Mailing Address |
374 Grand Ave New Haven CT 06513-3733 |
| Practice Telephone | 2037777411 |
| Practice Fax Number | 2037778506 |
| Mailing Telephone | 2037777411 |
| Mailing Fax Number | 2037778506 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
000010 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
10 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004185064 | 05 | |
| OXFORD | P3588922 | 01 | |
| CT CARE | 100010 | 01 | |
| PREFERRED ONE | 183874 | 01 |
| Street Address |
374 GRAND AVENUE FAIR HAVEN COMMUNITY HEALTH CTR |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033224670 | Ivette Becerra Ortiz | Nurse Practitioner | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-08-21 |
| 1497260798 | Elsie Eusebid Eszterhai | Dental Hygienist | 374 Grand Avenue, New Haven, CT 06513 | 2017-12-08 |
| 1043303258 | Ellen J Wormser | Advanced Practice Midwife | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-10-02 |
| 1376647420 | Ruth J Magraw | Pediatrics | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-09-11 |
| 1285738336 | Kathleen M Mitcheom | Advanced Practice Midwife | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-09-11 |
| 1093819146 | Elizabeth Magenheimer | Nurse Practitioner | 374 Grand Avenue, Fair Haven Community Health Ctr, New Haven, CT 06513 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366906141 | Edward Rivera | Case Manager/Care Coordinator | 458 Grand Ave., Suite 103, New Haven, CT 06513 | 2019-01-25 |
| 1134698442 | Village of Angels Home Health Care LLC | Respite Care | 470 James Street, Suite 007, New Haven, CT 06513 | 2018-11-15 |
| 1609358068 | Sarah Khalil | Pharmacist | 745 Foxon Road, East Haven, CT 06513 | 2018-09-02 |
| 1912358375 | Domanice Poindexter | Nurse Practitioner | Caremore Health, 444 Foxon Rd, East Haven, CT 06513 | 2016-06-28 |
| 1568839876 | My Fair Haven Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Grand Ave, New Haven, CT 06513 | 2015-08-24 |
| 1871979567 | Sankofa Counseling LLC | Community/Behavioral Health | 64 Thompson St Ste A101, East Haven, CT 06513 | 2015-08-04 |
| 1578967287 | Curtis Stewart | Pharmacy Technician | 661 Thompson Street, East Haven, CT 06513 | 2014-10-09 |
| 1548686322 | Davis Group LLC | Social Worker | 30 Grand Ave, New Haven, CT 06513 | 2014-03-17 |
| 1124459615 | James Lucas IIi | Dietitian, Registered | 167 Old Foxon Road, Unit 30b, New Haven, CT 06513 | 2013-12-09 |
| 1609206135 | Spretha Kadavath | Dentist | 50 Grand Ave, New Haven, CT 06513 | 2013-11-19 |
| Find all providers in zip 06513 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502810 | Ashley Stier | Nurse Practitioner | 58516 River Oaks Drive, New Haven, MI 48048-3329 | 2020-06-15 |
| 1396368676 | You Ri Hwang | Nurse Practitioner | 1050 State St, New Haven, CT 06511-2762 | 2020-05-21 |
| 1346707460 | Corbin Health Services | Nurse Practitioner | 50 Brewery St Unit 9658, New Haven, CT 06536-0658 | 2019-02-25 |
| 1235656042 | Jennifer L Cornell | Nurse Practitioner | 333 Cedar St # 2073, New Haven, CT 06510-3206 | 2017-08-23 |
| 1609317080 | Deirdre Gruber | Nurse Practitioner | 54 Meadow St Fl 9, New Haven, CT 06519-1719 | 2017-03-17 |
| 1134666076 | Sharon Corbin | Nurse Practitioner | 635 Elm St, New Haven, CT 06511-4136 | 2017-01-31 |
| 1902285976 | Mary Sytek | Nurse Practitioner | 110 Hemlock Rd, New Haven, CT 06515-2618 | 2015-05-23 |
| 1053706499 | Suzanna Smaldone | Nurse Practitioner | 1427 Chapel St., Sanjay Aggarwal Md LLC, New Haven, CT 06511-4403 | 2015-04-02 |
| 1497155634 | Cheryl Maenza | Nurse Practitioner | 789 Howard Ave Bldg 3, New Haven, CT 06519-1304 | 2014-08-25 |
| 1881922482 | Chantelle Marie Shimono-legault | Nurse Practitioner | 330 Cedar St Tmp3, New Haven, CT 06510-3218 | 2009-11-20 |
| Find all providers in NEW HAVEN | ||||
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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.