Krista Phelan-Wright, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11158 Issued in CT

Practice address

276 Highland Ave Ste 2a
Waterbury, CT 06708-3022

Phone

(203) 819-7220

NPI assigned

Jul 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Careconnectmd Connecticut PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Stamford, CT
  • NPI 1467187336
  Medicare reassignment NPD
• Inhouse Care LLC

  • Primary Care Clinic/Center
  • Wolcott, CT
  • NPI 1598138943
  NPD

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1003487851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 HIGHLAND AVE STE 2A",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 HIGHLAND AVE STE 2A",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083022",
            "telephone_number": "203-819-7220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Beecher Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067052043",
            "country_code": "US",
            "telephone_number": "203-206-1228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELAN-WRIGHT",
        "first_name": "KRISTA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-02",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "11158",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "77861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Leigh Petrik, LCSW
• Gretchen Pettinico, PT
• Samone Pettway
• PH Way LLC
• Pharmacy Express LLC
• Julie L. Phillips
• Deanna Lynn Phipps, DO
• Vanessa Phommahaxay
• Physical Therapy Associates Inc
• Physiotherapy Associates Inc

• Nurse Practitioner in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.