DIANA G POULSEN (NPI# 1962872523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962872523 |
| Entity Type | Individual |
| Full Name | DIANA G POULSEN |
| Practice Address |
Yale New Haven Pediatric Ed 1 Park St New Haven CT 06504 |
| Mailing Address |
177 Candlewood Rd Fairfield CT 06825-3662 |
| Practice Telephone | 2036884242 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | CT | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
4174 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15 W Main St # C201, Norwalk, CT 06851 | 5083140044 |
| Street Address |
YALE NEW HAVEN PEDIATRIC ED 1 PARK ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679715395 | Rhonda Leigh Sawyer | Physician Assistant | 840 Howard Avenue, New Haven, CT 06504 | 2009-03-26 |
| 1205086915 | Christiane Brigitte Sabourin | Nurse Practitioner | 20 York Cb-2041, Ynh Medical Services PC, New Haven, CT 06504 | 2008-09-30 |
| 1821135187 | Jorge E Dotto | Pathology | Yale New Haven Hosp - Pathology, 20 York Street, Cp2-631, New Haven, CT 06504 | 2007-01-30 |
| 1528155009 | John K Hickey | Physician Assistant | 20 York St - Cb2041, Mill Hill Medical Conslutants, Inc, New Haven, CT 06504 | 2006-10-06 |
| 1750495610 | Leslie Hetzel O'connor | Clinical Nurse Specialist | Yale- New Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-08-18 |
| 1790729507 | Cynthia Anne Nielsen | Social Worker | 20 York St., Yale-new Haven Hospital, New Haven, CT 06504 | 2006-06-15 |
| 1023051901 | Michele N. Nyman Harris | Social Worker | Yale-new Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-06-14 |
| 1386627503 | Kerstin Elizabeth Calia | Internal Medicine | 20 York St Cb-2041, New Haven, CT 06504 | 2005-11-22 |
| 1598761546 | Edward Francois | Internal Medicine | 20 York Street Cb 2041, New Haven, CT 06504 | 2005-06-23 |
| 1003295023 | Danice Kuruvilla | Pediatrics | 1 Park St, New Haven, CT 06504 | 2015-05-22 |
| Find all providers in zip 06504 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790319655 | Erin Kelly Flynn | Physician Assistant | 464 Congress Ave # Suie260, New Haven, CT 06519-1361 | 2020-02-28 |
| 1659919702 | Jeniece Kayla Wert | Physician Assistant | 100 Church Street South, Suite A230 Room A235, New Haven, CT 06519-1703 | 2019-12-18 |
| 1588121354 | Jason Michael Nies | Physician Assistant | 20 York St # 218, New Haven, CT 06510-3220 | 2019-02-27 |
| 1902334436 | Lauren Veronica Boggs | Physician Assistant | 45 Ley St, New Haven, CT 06512-3921 | 2017-05-29 |
| 1831353853 | Dina Weiner | Physician Assistant | 840 Howard Ave Fl 1, New Haven, CT 06519-1106 | 2008-07-18 |
| 1528244027 | Gerald Kayingo | Physician Assistant | 211 Fountain St, Apt 12, New Haven, CT 06515-1979 | 2008-01-14 |
| 1821219783 | Susanne Atkins | Physician Assistant | 175 Sherman Avenue, New Haven, CT 06511 | 2007-05-01 |
| 1023133626 | John Sceppa | Physician Assistant | Yale -new Haven Hospital, 20 York St., New Haven, CT 06510-3202 | 2007-03-20 |
| 1922147578 | Janice Decho | Physician Assistant | 20 York St Cb- 2041, New Haven, CT 06504-8900 | 2007-02-06 |
| 1578613964 | Brian Patrick Munday | Physician Assistant | 800 Howard Ave Lower Level, Comprehensive Epilepsy Center LLCi 716, New Haven, CT 06520-8018 | 2007-01-10 |
| 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.