MARTHA SHAMY MANISCALCO


Address: 300 Summit St, Hartford, CT 06106-3100
Phone: 8602972018

MARTHA SHAMY MANISCALCO (NPI# 1952593782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952593782
Entity Type Individual
Full Name MARTHA SHAMY MANISCALCO
Other Name MARTHA MARIA SHAMY
Credential APRN, FNP
Practice Address 300 Summit St
Hartford
CT 06106-3100
Practice Telephone 8602972018
Practice Fax Number 8602972020
Mailing Telephone 8602972018
Mailing Fax Number 8602972020
Enumeration Date 2007-08-15
Last Update Date 2016-03-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 003623 CT Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family 		003623 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 008023694 05

Office Location

Street Address 300 SUMMIT ST
City HARTFORD
State CT
Zip Code 06106-3100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467441865 Justin Richard Leduc Specialist 300 Summit St, Ferris Athletic Center, Hartford, CT 06106-3100 2005-10-18
1033575204 Leyla Kuz-dworzak Specialist/Technologist 300 Summit St, Hartford, CT 06106-3100 2016-01-04
1891196309 Trustees of Trinity College Family Medicine 300 Summit St, Ferris Athletic Center, Hartford, CT 06106-3100 2014-09-16
1467897462 Trustees of Trinity College Clinic/Center 300 Summit St, Wheaton Hall, Hartford, CT 06106-3100 2013-05-03
1053660498 Sarah Anne Raskin Clinical Neuropsychologist 300 Summit St, Hartford, CT 06106-3100 2012-08-30
1396005989 John V. Carlson Psychologist 300 Summit St, Hartford, CT 06106-3100 2012-05-17
1275732794 Randolph M Lee Psychologist 300 Summit St, Trinity College Counseling Center, Hartford, CT 06106-3100 2007-07-14
1275753162 Ernest Hallbach Specialist/Technologist 300 Summit St, Hartford, CT 06106-3100 2007-04-26
1669483939 Stephanie Taylor Registered Nurse 300 Summit St, Trinity College Health Center, Hartford, CT 06106-3100 2006-08-11
1629049465 Kathleen M. Hayes Nurse Practitioner 300 Summit St, Hartford, CT 06106-3100 2006-01-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750907325 Vartika Kesarwani Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-19
1720602865 Meher Kaur Singha Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-04
1497314140 Eduardo Mantovani Cardoso Student in an Organized Health Care Education/Training Program Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-06-06
1114582178 Dimitrios Drekolias Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-05-06
1316501687 Rafae Shaikh Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-04-23
1437643715 Lucas Bensa Social Worker 421 Washington St., Apt C1, Hartford, CT 06106 2018-06-19
1548754310 Collin Dimler Physician Assistant 85 Seymour St Ste 1003, Hartford, CT 06106 2018-06-15
1619460581 Bryan F Stringer Student in an Organized Health Care Education/Training Program 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 2018-06-14
1083103972 Margret Sigurdardottir Blondal Student in an Organized Health Care Education/Training Program 282 Washington Street, Ste 4h, Hartford, CT 06106 2018-05-07
1265920995 Rudra Ramanathan Student in an Organized Health Care Education/Training Program 79 Retreat Ave Brown Stone, Hartford, CT 06106 2018-04-27
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396352589 Jeffrey Kiser Nurse Practitioner 123 Sisson Ave Fl 3, Hartford, CT 06106-1136 2020-09-30
1134686777 Familycareofhartford Corp Nurse Practitioner 556 Zion St, Hartford, CT 06106-2348 2019-03-01
1649788035 Brian Keith Talbert Nurse Practitioner 238 Moore St, Hartford, WV 25247-1823 2018-01-19
1841735818 Katie Strahowski Nurse Practitioner 85 Gillett Street, Clean Slate, Hartford, CT 06105 2016-12-30
1881140713 Allison Forehand Locke Nurse Practitioner 169 N 2nd Ave, Hartford, AL 36344-1219 2016-08-31
1649641150 Fredo J Clermont Nurse Practitioner 114 Woodland St Fl 7, Hartford, CT 06105 2015-10-09
1194191973 Esther Wint Nurse Practitioner 490 Blue Ave, Hartford, CT 06112 2015-08-17
1497173462 Nydia Gonzalez Nurse Practitioner 470 Maple Ave, Hartford, CT 06114-1215 2014-04-06
1518383728 Anna L Waldner Nurse Practitioner 402 Emma Dr, Hartford, SD 57033-2061 2014-03-12
1982020350 Tracey Marie Allen Nurse Practitioner 282 Washington St Ste D, Hartford, CT 06106-3322 2014-03-10
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Competitor

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City HARTFORD
Zip Code 06106

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Dataset Information

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.

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