Jaclyn Leigh Roman
Nurse Anesthetist, Certified Registered in New Haven, CT. Individual provider (NPI-1).
NPI number1699059337
StatusActive
Last updated in NPPESNov 19, 2014
Details
- NPI
- 1699059337
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jaclyn Leigh Roman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2011
- Last updated
- Nov 19, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Part B Yes · DME No · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 080069 | CT | Yes |
Practice location
1423 Chapel StNew Haven, CT 06511-4411
Phone 203-865-3852
Mailing address
17 Stonewall LnClinton, CT 06413-2531
Phone 203-996-6671
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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