Active NPI
Janet Konadu, REGISTERED NURSE
- Registered Nurse
- Windsor Locks, CT
National Provider Identifier
1003512682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 10.171610
- Practice address
- 4 Merrigan LN
Windsor Locks, CT 06096-1573 - Phone
- (860) 597-3881
- NPI assigned
- Feb 6, 2023
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 10.171610 | CT | Primary |
Addresses
Primary practice location
4 Merrigan LN
Windsor Locks, CT 06096-1573
Mailing address
4 Merrigan LN
Windsor Locks, CT 06096-1573
Phone (860) 597-3881
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10.171610 | CT | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1003512682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MERRIGAN LN",
"city": "WINDSOR LOCKS",
"state": "CT",
"postal_code": "060961573",
"telephone_number": "860-597-3881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MERRIGAN LN",
"city": "WINDSOR LOCKS",
"state": "CT",
"postal_code": "060961573",
"telephone_number": "860-597-3881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONADU",
"first_name": "JANET",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-06",
"certification_date": "2023-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "10.171610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor Locks, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.