Jane Conway
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · West Hartford, CT
NPI 1346093473 · NPPES record last updated Jun 20, 2024
Key facts
- NPI
- 1346093473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 14062 (CT)
- Practice address
- 65 Kane St
West Hartford, CT 06119-2110 - Phone
- (860) 523-3770
- NPI assigned
- Apr 9, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240715000055 | CT | Order and Referring Only - Dentist |
7012452055 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14062 | CT | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 14062 | CT | Yes |
Addresses
Primary practice location
65 Kane St
West Hartford, CT 06119-2110
Mailing address
263 Farmington Ave
Farmington, CT 06030-1921
Other providers in West Hartford, CT
- Connecticut Surgical Group, PC
- Erin Conneely
- Carolyn Elizabeth Considine
- Lisa Contardi
- Contemporary General Dentistry, LLC
- Meagan Cook
- Karen Cooper-Tripp
- Michael S Cooper
- Claudia R. Coplein
- Melissa Pinto Corbo
All providers in West Hartford, CT · Student in an Organized Health Care Education/Training Program in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.