Individual provider Active NPI

Larissa A Waltower, RN

  • Homemaker
  • Windsor, CT
National Provider Identifier
1023952561
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
0014133740 Issued in CT
Practice address
41 Mechanic St Ste 1
Windsor, CT 06095-2554
Phone
(860) 854-4608
NPI assigned
Apr 15, 2026
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X 0014133740 CT Primary

Addresses

Primary practice location

41 Mechanic St Ste 1
Windsor, CT 06095-2554

Mailing address

41 Mechanic St Ste 1
Windsor, CT 06095-2554
Phone (860) 854-4608

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0014133740CTMDHomemaker

NPI Registry JSON

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1023952561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MECHANIC ST STE 1",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952554",
            "telephone_number": "860-854-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MECHANIC ST STE 1",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952554",
            "telephone_number": "860-854-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTOWER",
        "first_name": "LARISSA",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": "CT",
            "license": "0014133740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.