JENNIFER LYNN BRACKETT (NPI# 1942279773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942279773 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN BRACKETT |
| Credential | APRN |
| Practice Address |
400 Columbus Ave New Haven CT 06519-1233 |
| Practice Telephone | 2035033250 |
| Practice Fax Number | 2035033254 |
| Mailing Telephone | 2035033250 |
| Mailing Fax Number | 2035033254 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2011-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 001926 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004235900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396112140 | Jennifer M Brackett | Pharmacist | 226 High St, Ellsworth, ME 04605-1742 | 2015-08-27 |
| 1881899136 | Jennifer Elizabeth Brackett | Physical Therapist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2007-06-18 |
| Street Address |
400 COLUMBUS AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043209091 | Robin Goldberg | Dentist | 400 Columbus Ave, New Haven, CT 06519-1233 | 2005-10-20 |
| 1871190579 | Ashley Salter | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-10-06 |
| 1679199095 | Kathleen Mary Mcmahon-brown | Nurse Practitioner | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-06-22 |
| 1003443219 | D'amira Kendrick | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-03-26 |
| 1821628108 | Jonathan Ruiz | Marriage & Family Therapist | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-01-25 |
| 1205495785 | Julia Stark Oricchio | Nurse Practitioner | 400 Columbus Ave, Apc, New Haven, CT 06519-1233 | 2019-06-10 |
| 1174004758 | Taylor Catherine Rispoli | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2018-08-22 |
| 1548769235 | Carolina Bunta | Marriage & Family Therapist | 400 Columbus Ave, Apc, New Haven, CT 06519-1233 | 2018-02-07 |
| 1740728559 | Ervis Shehu | Pharmacist | 400 Columbus Ave, New Haven, CT 06519-1233 | 2017-02-01 |
| 1265985725 | Grace Kindilien Moskowitz | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2016-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679121479 | Sarah C Scott | Nurse Practitioner | 175 Sherman Ave Fl 2, New Haven, CT 06511-4358 | 2019-08-27 |
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1922584549 | Kathryn Dzurilla | Nurse Practitioner | 20 York St. Cb-2041, New Haven, CT 06510-3220 | 2018-07-17 |
| 1295146215 | Amanda Kuula-johnson | Nurse Practitioner | 58337 Thomas Dr, New Haven, MI 48048-3326 | 2014-05-13 |
| 1679835086 | Ear Nose & Throat Medical and Surgical Group, LLC | Nurse Practitioner | 46 Prince St Ste 601, New Haven, CT 06519-1634 | 2012-06-12 |
| 1619275567 | Laura Ann Tipping Wilhelm | Nurse Practitioner | 675 Townsend Ave, New Haven, CT 06512-3101 | 2011-03-02 |
| 1154492015 | Ranbir Bains | Nurse Practitioner | 1460 Chapel St, New Haven, CT 06519-1233 | 2006-11-13 |
| 1699729475 | Dorothea Smith | Nurse Practitioner | 2 Church St., New Haven, CT 06519 | 2006-05-19 |
| 1578524641 | Debra Faye Danzinger | Nurse Practitioner | 323 Center St, New Haven, KY 40051-6319 | 2006-03-29 |
| 1821090507 | Robin Lee Phillips | Nurse Practitioner | 20 York Street, Cb-2041, New Haven, CT 06510-3220 | 2005-08-12 |
| 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.