Individual provider Active NPI

Fiona Hart, APRN

  • Pediatric Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1033816475
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
13702 Issued in CT
Practice address
76 New Britain Ave
Hartford, CT 06106-3305
Phone
(860) 545-9300
NPI assigned
Feb 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2371476 MA
Pediatric Nurse Practitioner 363LP0200X 13702 CT Primary

Addresses

Primary practice location

76 New Britain Ave
Hartford, CT 06106-3305

Mailing address

40 Knollwood LN
Wayland, MA 01778-4434
Phone (774) 270-3027

Other practice location 1

40 Knollwood Ln
Wayland, MA 01778-4434
Phone (774) 270-3027

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
I20240910001025 CT Practitioner - Nurse Practitioner 9234679887 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13702CTMDClinical Social Worker
RN2371476MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center Inc CurrentSince Sep 1, 2024 Accepting new patients
Community Health Center Inc CurrentSince Sep 1, 2024 Accepting new patients

Locations

76 New Britain Ave
Hartford, CT 06106
Phone (860) 545-9300

19 Grand St
Middletown, CT 06457
Phone (860) 323-0172

Interoperability endpoints

  • Direct secure messaging: fiona.hart@chcict.eclinicaldirectplus.com

Organizations & group practices 2

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": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1033816475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 KNOLLWOOD LN",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017784434",
            "telephone_number": "774-270-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 NEW BRITAIN AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063305",
            "telephone_number": "860-545-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Knollwood Ln",
            "address_purpose": "LOCATION",
            "city": "Wayland",
            "state": "MA",
            "postal_code": "017784434",
            "country_code": "US",
            "telephone_number": "774-270-3027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "FIONA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2371476",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "13702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.