Liza Alexis Paolini, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

003100 Issued in CT

Practice address

182 High Hill Rd
Wallingford, CT 06492-1906

Phone

(203) 366-4242

Fax

(203) 366-4242

NPI assigned

Nov 23, 2005

Last updated

Jul 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Miss Liza Alexis Paolini Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gaylord Hospital, Inc.

  dba Gaylord Hospital

  • Long Term Care Hospital
  • Wallingford, CT
  • NPI 1730137753
  NPD (past)
• NP Care, LLC

  • Nurse Practitioner
  • Shelton, CT
  • NPI 1386693182
  NPD (past)

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1205819075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 HIGH HILL RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 HIGH HILL RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921906",
            "telephone_number": "203-366-4242",
            "fax_number": "203-366-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLINI",
        "first_name": "LIZA",
        "middle_name": "ALEXIS",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "003100",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "003100",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "E59787",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE (PAOLINI)",
            "identifier": "500002176",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID (PAOLINI)",
            "identifier": "004236164",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZA",
            "last_name": "PAOLINI",
            "middle_name": "ALEXIS",
            "prefix": "MISS",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Allison Padegimas, M.D.
• Debra Ann Padgett, COTAL
• Kathy Pae, MD
• Daniell Anthony Pagaduan
• Kari Gilland Panuccio, OTR/L
• Amanda Papa, LCSW
• Kathryn M Papadikis, M.D.
• Paul Vincent Parente, LCSW
• Ronald S Paret, M.D.
• Park Avenue Medical

• Family Nurse Practitioner in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.