Jaimee T Dizenzo
Nurse Practitioner, Family in Southington, Connecticut
1942983960- Practice location
- 249 Spring Lake RD, Southington, CT 06489-4426
- Phone
- 860-681-1646
- Fax
- —
- Last updated
- August 30, 2023
Jaimee Taylor Dizenzo is a Nurse Practitioner, Family based in Southington, CT. Jaimee Taylor Dizenzo practices in Southington, CT. The NPI Number for Jaimee Taylor Dizenzo is 1942983960 and holds a License No. 12251 (CT). The current practice location address for Jaimee Taylor Dizenzo is 249 Spring Lake RD, Southington, CT 06489-4426 and can be reached out via phone at 860-681-1646.
Provider Profile Details
- NPI Number
- 1942983960
- Provider Name
- Jaimee Taylor Dizenzo
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 249 Spring Lake RD, Southington, CT 06489-4426
- Phone Number
- 860-681-1646
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 8, 2023
- Last Update Date
- August 30, 2023
- Certification Date
- August 30, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 249 Spring Lake RD
Southington, CT 06489-4426 - City
- Southington
- State
- Connecticut
- Zip
- 06489-4426
- Phone Number
- 860-681-1646
Provider Business Mailing Address Details
- Address
- 249 Spring Lake RD
Southington, CT 06489-4426 - City
- Southington
- State
- CT
- Zip
- 06489-4426
- Phone Number
- 860-681-1646
License Information
- License Number (1)
- 12251
- License State (1)
- CT
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jaimee T Dizenzo?
The NPI number of Jaimee T Dizenzo is 1942983960. It was assigned on August 8, 2023 and is currently active in the NPPES registry.
What is the specialty of Jaimee T Dizenzo?
Jaimee T Dizenzo is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 12251.
Where does Jaimee T Dizenzo practice?
The practice location is 249 Spring Lake RD, Southington, CT 06489-4426. The office can be reached at 860-681-1646 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942983960 directly on the NPPES registry website.