JOSEE DIANE CLOUTIER M.D. NPI 1790860419

NPI Information

NPI: 1790860419
Provider Name: JOSEE DIANE CLOUTIER, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
10 LIBERTY WAY
SUITE 10B
NIANTIC, CT
ZIP 06357
Phone: (860) 691-8084
Get Directions

Josee Diane Cloutier, M.D. is a family medicine in Niantic, CT with 36 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Josee Diane Cloutier, M.D. NPI is 1790860419. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10 LIBERTY WAY
SUITE 10B
NIANTIC, CT
ZIP 06357-032
Phone: (860) 691-8084
Fax: (860) 691-1195

The NPI 1790860419 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		040820	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2V4806	OTHER	CONNECTICUT	HEALTH NET
2	040820	OTHER	CONNECTICUT	CONNECTICARE
3	H73156	MEDICARE UPIN	CONNECTICUT
4	3581342	OTHER	CONNECTICUT	AETNA
5	5534978	OTHER	CONNECTICUT	FIRST HEALTH
6	9727325	OTHER	CONNECTICUT	CIGNA
7	P2706722	OTHER	CONNECTICUT	OXFORD
8	010040820CT02	OTHER	CONNECTICUT	ANTHEM BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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