Organization Active NPI

Sunrise Integrative Health PLLC

  • Health Service Clinic/Center
  • Glastonbury, CT
National Provider Identifier
1033855648
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Jul 25, 2023

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)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.