CARLI WILLARD (NPI# 1972935211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972935211 |
| Entity Type | Individual |
| Full Name | CARLI WILLARD |
| Credential | APRN |
| Practice Address |
15 Palomba Dr Enfield CT 06082-3888 |
| Practice Telephone | 8907451623 |
| Practice Fax Number | 8607413618 |
| Mailing Telephone | 8907451623 |
| Mailing Fax Number | 8607413618 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2014-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5433 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15 PALOMBA DR |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-3888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219058 | Virginia P Riggs | Legal Medicine | 15 Palomba Dr, Enfield, CT 06082-3888 | 2005-07-20 |
| 1326496811 | Ashraf Moustafa | Pharmacist | 15 Palomba Dr, Enfield, CT 06082-3888 | 2016-05-25 |
| 1679921142 | Ginger Otoole | Pharmacist | 15 Palomba Dr, Enfield, CT 06082-3888 | 2016-05-25 |
| 1043604010 | Eye of Horus Pharmaceutical Services,llc | Durable Medical Equipment & Medical Supplies | 15 Palomba Dr, Enfield, CT 06082-3888 | 2015-03-26 |
| 1861882557 | Kathleen Helen Kelley | Dietitian, Registered | 15 Palomba Dr, 2, Enfield, CT 06082-3888 | 2015-02-02 |
| 1528378015 | John Paul Reheis, Md LLC | Urology | 15 Palomba Dr, Suite 11, Enfield, CT 06082-3888 | 2010-10-18 |
| 1447433677 | Fignar Family Practice, LLC | Physician Assistant | 15 Palomba Dr, Suite 5, Enfield, CT 06082-3888 | 2007-12-11 |
| 1891840138 | Md Medical Writing, LLC | Internal Medicine | 15 Palomba Dr, Suite 11, Enfield, CT 06082-3853 | 2007-01-25 |
| 1124117908 | Interanal Medicine and Pediatric Associates LLC | Pediatrics | 15 Palomba Dr, Suite 13, Enfield, CT 06082-3888 | 2006-10-12 |
| 1932206232 | Joseph V Breton | Internal Medicine | 15 Palomba Dr, Suite 13, Enfield, CT 06082-3888 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
| 1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
| 1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
| 1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
| 1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
| 1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
| 1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
| 1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
| 1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
| 1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
| Find all providers in zip 06082 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174886188 | Ct Center for Bladder Health LLC | Nurse Practitioner | 136 Hazard Ave Bldg 6, Enfield, CT 06082-4520 | 2012-06-25 |
| 1376576496 | Paula L Chevrier | Nurse Practitioner | 875 Enfield St, Enfield, CT 06082-3617 | 2006-07-09 |
| 1396354973 | Gabrielle Berthiaume | Nurse Practitioner | 160 Hazard Avenue, Enfield, CT 06082 | 2020-07-29 |
| 1588174700 | Mary Lamonica Downey | Nurse Practitioner | 114 Market St, Enfield, NC 27823-1423 | 2017-10-02 |
| 1154842920 | Caryn Hannah Cohen Sloate | Nurse Practitioner | 155 Hazard Ave, Enfield, CT 06082-4580 | 2017-07-03 |
| 1992230635 | Shameka Rodgers | Nurse Practitioner | 114 Market St, Enfield, NC 27823-1423 | 2017-05-01 |
| 1487190013 | Kevin E. Sadowski Aprn LLC | Nurse Practitioner | 143 Hazard Ave, Enfield, CT 06082-4521 | 2017-01-06 |
| 1821467432 | Shadana Smith-grant | Nurse Practitioner | 875 Enfield St, Enfield, CT 06082-3617 | 2015-09-24 |
| 1942538913 | Amy L Kenefick | Nurse Practitioner | 76 Palomba Dr, Enfield, CT 06082-3856 | 2009-12-02 |
| 1346392214 | Rebecca Story Wilson | Nurse Practitioner | 114 Market St, Enfield, NC 27823-1423 | 2007-01-18 |
| Find all providers in ENFIELD | ||||
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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.