| Miss Jesse Marie Kavumpurath, APRN, FNP-BC | |
|
119 S Main St, Colchester, CT 06415-1456 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Miss Jesse Marie Kavumpurath |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 119 S Main St, Colchester, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427451004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 005838 (Connecticut) | Primary |
| Entity Name | Trinity Health Of New England Provider Network Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003882812 PECOS PAC ID: 0941113567 Enrollment ID: O20031110000651 |
| Entity Name | Mc Diagnostic Of Connecticut, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386821932 PECOS PAC ID: 0941382113 Enrollment ID: O20080126000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Jesse Marie Kavumpurath, APRN, FNP-BC 312 Chamberlain Hwy, Kensington, CT 06037-1926 Ph: (860) 828-5956 | Miss Jesse Marie Kavumpurath, APRN, FNP-BC 119 S Main St, Colchester, CT 06415-1456 Ph: (866) 389-2727 |
Ms. Sarah Louise Tyler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Broadway St, Colchester, CT 06415 Phone: 860-537-9901 | |
Danielle M Grillo, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 163 Broadway St, Colchester, CT 06415 Phone: 860-537-4601 | |
Frances M. Deegan, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 84 Jaffee Ter, Colchester, CT 06415 Phone: 860-537-1465 Fax: 860-537-1465 | |
Mallory Simpson Breitmaier, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 S Main St, Minuteclinic, Colchester, CT 06415 Phone: 401-714-5502 | |
Constance M Lappen, A.P.R.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 59 Harrington Ct, Harrington Court Center, Colchester, CT 06415 Phone: 860-537-2339 Fax: 860-537-4747 | |
Amy Scheel, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 119 S Main St, Colchester, CT 06415 Phone: 866-389-2727 |