Jeannie Dilworth, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

001987 Issued in CT

Legal business name

JEANNIE DILWORTH, LLC

Practice address

642 Hilliard St Ste 1315
Manchester, CT 06042-2700

Phone

(860) 335-7221

Fax

(833) 901-3911

NPI assigned

Apr 28, 2015

Organization subpart

No

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

Authorized official

Name

Jeannie Dilworth, APRN

Title

Psychiatric Nurse Practitioner/Owne

Phone

(860) 335-6834

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753574400000",
    "number": "1285011361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 HILLIARD ST STE 1315",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422700",
            "telephone_number": "860-335-6834",
            "fax_number": "833-901-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 HILLIARD ST STE 1315",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422700",
            "telephone_number": "860-335-7221",
            "fax_number": "833-901-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNIE DILWORTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A",
        "authorized_official_last_name": "DILWORTH",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER/OWNE",
        "authorized_official_telephone_number": "860-335-6834",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "001987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008058819",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamshid a Marvasti, M.D. P.C.
• Anna Jankowski, PHARM.D
• Briana Lyn Japs, RDH, MPH
• Aliya E Jasensky
• Jbtherapy LLC
• Jeffrey H. Katz, M.D., L.L.C.
• Anthony Jenkins
• Damon Jenkins, DMD
• Jennifer Espinoza PSYD LLC
• Amy Jensen

• Psychiatric/Mental Health Nurse Practitioner in Manchester, CT
• Providers in Manchester, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2025; 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.