Maryellen Pachler Pachler Kennell, A.P.R.N.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

CTAPRN003159 Issued in CT

Practice address

399 East Putnam Ave.
2ND Floor Suite #1
Cos Cob, CT 06807

Phone

(860) 478-4134

Fax

(203) 769-1366

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Maryellen Creamer Pachler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1174643530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 EAST PUTNAM AVE.",
            "address_2": "2ND FLOOR SUITE #1",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "06807",
            "telephone_number": "860-478-4134",
            "fax_number": "203-769-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 EAST PUTNAM AVE.",
            "address_2": "2ND FLOOR SUITE #1",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "06807",
            "telephone_number": "860-478-4134",
            "fax_number": "203-769-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHLER KENNELL",
        "first_name": "MARYELLEN",
        "middle_name": "PACHLER",
        "name_prefix": "Mrs.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "003159",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "003159",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "CTAPRN003159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYELLEN",
            "last_name": "PACHLER",
            "middle_name": "CREAMER",
            "credential": "A.P.R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Sujata Patel, RD, CDN, CCN
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• Nurse Practitioner in Cos Cob, CT
• Providers in Cos Cob, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.