Individual provider Active NPI

Christie Lee Vardhami, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1013564905
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8433 Issued in CT
Practice address
500 Vine St
Hartford, CT 06112-1639
Phone
(860) 297-0800
NPI assigned
Aug 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8433 CT Primary

Addresses

Primary practice location

500 Vine St
Hartford, CT 06112-1639

Mailing address

500 Vine St
Hartford, CT 06112-1639
Phone (860) 297-0800

Other practice location 1

17 S Highland St
West Hartford, CT 06119-1826
Phone (860) 258-4171

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191007002356 CT Practitioner - Nurse Practitioner 8527399492 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of ConnecticutGroup PAC ID 8022915677, 267 clinicians

Practice addresses (Care Compare)

500 Vine St
Hartford, CT 06112-1639
Phone (860) 297-0800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8433CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Hospital Multi Specialty Group, Inc CurrentSince Feb 22, 2020 Accepting new patients
Intercommunity, Inc. CurrentSince Sep 19, 2019 Accepting new patients
Intercommunity, Inc. CurrentSince Sep 19, 2019 Accepting new patients
State of Connecticut CurrentSince Dec 23, 2022 Accepting new patients
State of Connecticut CurrentSince Dec 23, 2022 Accepting new patients

Locations

420 N Main St
Bristol, CT 06010
Phone (860) 314-4400

10 N Main St
Ste 210
Bristol, CT 06010
Phone (860) 314-2052

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

111 Founders Plz
Ste 1802
East Hartford, CT 06108
Phone 8605695900326

281 Main St
East Hartford, CT 06118
Phone (860) 291-1335

16 Coventry St
Hartford, CT 06112
Phone (860) 714-3701

450 Columbus Blvd
Ste 1001
Hartford, CT 06103

800 Connecticut Blvd
Fl 4
Hartford, CT 06108
Phone (860) 622-5451

500 Vine St
Hartford, CT 06112
Phone (860) 293-6400

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1013564905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VINE ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121639",
            "telephone_number": "860-297-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VINE ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121639",
            "telephone_number": "860-297-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 S Highland St",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061191826",
            "country_code": "US",
            "telephone_number": "860-258-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARDHAMI",
        "first_name": "CHRISTIE",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-24",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "8433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.