Organization Active NPI

Donna Civardi Rnfa, Aprn, FNP-BC, LLC

  • Primary Care Clinic/Center
  • Norwich, CT
National Provider Identifier
1043520604
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
004438 Issued in CT
Legal business name
DONNA CIVARDI RNFA, APRN, FNP-BC, LLC
Practice address
18 Oneco St
Suite 2
Norwich, CT 06360-3440
Phone
(860) 383-2024
NPI assigned
Oct 18, 2010
Last updated
Oct 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Donna M Civardi, APRN, FNP-BCNPI 1831230119
Title
Owner
Phone
(860) 383-2024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 004438 CT Primary

Addresses

Primary practice location

18 Oneco St
Suite 2
Norwich, CT 06360-3440

Mailing address

18 Oneco St
Suite 2
Norwich, CT 06360-3440
Phone (860) 383-2024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101207000339 CT Part B Supplier - Clinic/Group Practice 1052508819 Receives reassigned benefits from 1 practitioner
Practice locations: Norwich, CT

National Provider Directory

National Provider Directory

Locations

18 Oneco St
Ste 2
Norwich, CT 06360
Phone (704) 608-7941

223 W Town St
Norwich, CT 06360
Phone (860) 383-2024

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22105/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1043520604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ONECO ST",
            "address_2": "SUITE 2",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063603440",
            "telephone_number": "860-383-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ONECO ST",
            "address_2": "SUITE 2",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063603440",
            "telephone_number": "860-383-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA CIVARDI RNFA, APRN, FNP-BC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "CIVARDI",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-383-2024",
        "authorized_official_credential": "APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "004438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.