Proficient Nurse Practitioners PNP

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

PROFICIENT NURSE PRACTITIONERS PNP

Practice address

24 Park PL
Hartford, CT 06106-5008

Phone

(860) 558-3720

NPI assigned

Apr 16, 2014

Organization subpart

No

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

Authorized official

Name

Bereshith Adams

Title

Manager

Phone

(860) 558-3720

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1013337179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PARK PL",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06106",
            "telephone_number": "860-558-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PARK PL",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065008",
            "telephone_number": "860-558-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFICIENT NURSE PRACTITIONERS PNP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BERESHITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-558-3720"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Hartford, CT
• Providers in Hartford, CT by specialty
• Early Intervention Provider Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.