Active NPI
Sunrise Integrative Health PLLC
- Health Service Clinic/Center
- Glastonbury, CT
National Provider Identifier
1033855648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- SUNRISE INTEGRATIVE HEALTH PLLC
- Practice address
- 2389 Main St Ste 100
Glastonbury, CT 06033-4617 - Phone
- (860) 370-4186
- Fax
- (203) 643-2313
- NPI assigned
- May 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anaica Quao, DNP, APRN
- Title
- Director
- Phone
- (860) 370-4186
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
2389 Main St Ste 100
Glastonbury, CT 06033-4617
Mailing address
1201 Kings Hwy Ste 2
Fairfield, CT 06824-5319
Phone (860) 370-4186
Other names 1
- Sunrise Integrative Health
National Provider Directory
National Provider DirectoryLocations
50 Quality St
Unit 110630
Trumbull, CT 06611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690243200000",
"number": "1033855648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 KINGS HWY STE 2",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245319",
"telephone_number": "860-370-4186",
"fax_number": "203-643-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2389 MAIN ST STE 100",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334617",
"telephone_number": "860-370-4186",
"fax_number": "203-643-2313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNRISE INTEGRATIVE HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-06",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A",
"authorized_official_last_name": "QUAO",
"authorized_official_first_name": "ANAICA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "860-370-4186",
"authorized_official_credential": "DNP, APRN"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunrise Integrative Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sunrise Integrative Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.