Therese Ann Bernstein, APRN
Individual provider Active NPI Pediatric Nurse Practitioner · Old Greenwich, CT
NPI 1033459334 · NPPES record last updated Feb 22, 2013
Key facts
- NPI
- 1033459334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 000599 (CT)
- Practice address
- 8 W End Ave
Old Greenwich, CT 06870-1642 - Phone
- (203) 637-3212
- NPI assigned
- Feb 22, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000599 | CT | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenwich Pediatric Associates, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/11855/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 000599 | CT | |
| Pediatric Nurse Practitioner | 363LP0200X | 000599 | CT | Yes |
Addresses
Primary practice location
8 W End Ave
Old Greenwich, CT 06870-1642
Mailing address
8 W End Ave
Old Greenwich, CT 06870-1642
Phone (203) 637-3212
Other providers in Old Greenwich, CT
- Susan Clayton Ballou
- Anna Rose Basinet
- Bay Ridge Health PA
- Laura Becton
- April E Belmonte
- Andrew Jon Bishop
- Alexander Matthew Blank
- Francine Blinten
- Lisa Bologna
- Elizabeth Boylan
All providers in Old Greenwich, CT · Pediatric Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.