Active NPI
Charis Wipfler
- Critical Care Medicine Nurse Practitioner
- Waterbury, CT
National Provider Identifier
1003177163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Nurse Practitioner
- License
- 005039
- Practice address
- 56 Franklin St
Waterbury, CT 06706-1253 - Phone
- (860) 709-6140
- NPI assigned
- Jun 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 005039 | CT | Primary |
Addresses
Primary practice location
56 Franklin St
Waterbury, CT 06706-1253
Mailing address
PO Box 1090
Windsor, CT 06095-6190
Phone (800) 925-7270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005039 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acuity House Call | Current | Accepting new patients | |
| Franklin Medical Group, PC | Past | Accepting new patients |
Locations
21 Church St
#1
Naugatuck, CT 06770
Phone (203) 632-5356
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Naugatuck, CT
- NPI 1750692166
-
- Internal Medicine Physician
- Waterbury, CT
- NPI 1780686964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1003177163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1090",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060956190",
"telephone_number": "800-925-7270",
"fax_number": "888-331-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 FRANKLIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061253",
"telephone_number": "860-709-6140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIPFLER",
"first_name": "CHARIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-06",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "CT",
"license": "005039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.