Individual provider Active NPI

Marina Creed, APRN, FNP-BC

  • Family Nurse Practitioner
  • West Hartford, CT
National Provider Identifier
1023533353
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
007147 Issued in CT
Practice address
87 Outlook Ave
West Hartford, CT 06119-1432
Phone
(860) 888-6032
Fax
(860) 888-6032
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 007147 CT Primary

Addresses

Primary practice location

87 Outlook Ave
West Hartford, CT 06119-1432

Mailing address

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-4888

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcreed10708@direct.med.uchc.edu

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
I20171018000352 CT Practitioner - Nurse Practitioner 2769758804 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
007147CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center CurrentSince Oct 2, 2017 Accepting new patients
University of Connecticut Health Center CurrentSince Oct 2, 2017 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

5 Munson Rd
Farmington, CT 06032
Phone (860) 679-4888

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

Organizations & group practices 3

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": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1023533353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060300001",
            "telephone_number": "860-679-4888",
            "fax_number": "860-679-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 OUTLOOK AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191432",
            "telephone_number": "860-888-6032",
            "fax_number": "860-888-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREED",
        "first_name": "MARINA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "007147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcreed10708@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "Uconn Medical Group",
            "address_2": "263 Farmington Avenue",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060300001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.