ANASTASIA TETERICHKO (NPI# 1942734314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942734314 |
Entity Type | Individual |
Full Name | ANASTASIA TETERICHKO |
Practice Address |
263 Farmington Avenue Farmington CT 06030 |
Practice Telephone | 8606792100 |
Practice Fax Number | 8606794815 |
Mailing Telephone | 8606792100 |
Mailing Fax Number | 8606794815 |
Enumeration Date | 2017-04-12 |
Last Update Date | 2018-07-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 305S00000X | Point of Service | Managed Care Organizations | ||
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
007267 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
21 Grand St, Hartford, CT 061061541 | 8605507500 |
Street Address |
263 FARMINGTON AVENUE |
City | FARMINGTON |
State | CT |
Zip Code | 06030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669466561 | State of Connecticut | Clinic/Center | 263 Farmington Avenue, Farmington, CT 06030-5355 | 2005-09-07 |
1619584026 | Sylvia Polanco | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-8203 | 2020-09-29 |
1154930956 | Lindsay Allison Petriello | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030 | 2020-07-28 |
1891304663 | Kara Dazkevich | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-0001 | 2020-07-28 |
1093324873 | Kaitlin Jeanne O'connor | Nurse Practitioner | 263 Farmington Avenue, Icu, University Tower, 1st Floor, Mail Code: 1131, Farmington, CT 06030 | 2020-07-28 |
1457975070 | Shriya Gupta | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Uconn Health - Outpatient Pavilion, Farmington, CT 06030-8031 | 2020-05-29 |
1114540150 | Carolina Mendes Pessoa | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, 2 West Uconn Clinic, Internal Medicine Associates, Ou, Farmington, CT 06032 | 2020-05-26 |
1457971293 | Christopher Dalton Lemoine | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Farmington, CT 06030-8073 | 2020-04-22 |
1871112953 | Cory Hewitt | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Farmington, CT 06030-4037 | 2020-04-09 |
1154940310 | Jeffrey Henry | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Farmington, CT 06030-1930 | 2020-04-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
Find all providers in zip 06030 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649832247 | Nayre Greene Kennedy | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2019-07-03 |
1609322007 | Diane Cynthia Allen | Nurse Practitioner | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2016-08-26 |
1407191034 | Elaine M. Cournean | Nurse Practitioner | John Dempsey Hospital, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2012-12-08 |
1447504766 | Mary E Davison-price | Nurse Practitioner | 263 Farmington Ave., Farmington, CT 06030 | 2012-11-08 |
1265584130 | Diana Marie Sidlik | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2007-01-18 |
1578574406 | Karen Metersky | Nurse Practitioner | 263 Farmington Ave, Cancer Center, Farmington, CT 06030-2875 | 2006-08-09 |
1588696488 | Jana Siman | Nurse Practitioner | 270 Farmington Ave, #309, Farmington, CT 06032-1909 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578161170 | Lisa B Stein | Nurse Practitioner | 861 Brooklawn Ave, Fairfield, CT 06825-1809 | 2020-10-15 |
1194322800 | Constantin Razvan Popescu | Nurse Practitioner | 46 Summer View Dr, Monroe, CT 06468-2001 | 2020-10-06 |
1538785902 | Lms Health LLC | Nurse Practitioner | 2001 W Main St Ste 244, Stamford, CT 06902-4544 | 2020-06-22 |
1760001010 | Mobile Care Partners of Connecticut Pllc | Nurse Practitioner | 44 Luzi Dr Apt 960, Bantam, CT 06750-1619 | 2020-04-15 |
1740811454 | Melissa Jennifer Mokel | Nurse Practitioner | 122 Cornerstone Dr, South Windsor, CT 06074-6303 | 2020-01-31 |
1861037533 | Olga Poznyur | Nurse Practitioner | 19 Woodland St Ste 21, Hartford, CT 06105-2372 | 2019-11-16 |
1356996904 | Virginia Tran | Nurse Practitioner | 39 Maple Tree Ave Unit 34, Stamford, CT 06906-2273 | 2019-08-09 |
1336705839 | Rose-ann Cashema Richards | Nurse Practitioner | 34 Heather Ln, Manchester, CT 06040-6903 | 2019-05-10 |
1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
1427549088 | Kelly Elizabeth Sullivan | Nurse Practitioner | 428 Hartford Tpke Ste 207, Vernon, CT 06066-4841 | 2018-05-19 |
Find all providers with the same taxonomy |
City | FARMINGTON |
Zip Code | 06030 |
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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.