Nicola Natalie Nelson-Pepka

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

151957 Issued in CT

Practice address

250 Seabury Dr
Bloomfield, CT 06002-2661

Phone

(860) 243-6074

NPI assigned

Oct 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1043972961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SEABURY DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022661",
            "telephone_number": "860-243-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SEABURY DR",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022661",
            "telephone_number": "860-243-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON-PEPKA",
        "first_name": "NICOLA",
        "middle_name": "NATALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "CT",
            "license": "151957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nicolanelson-pepka@seaburylife.org",
            "affiliation": "N",
            "address_1": "250 Seabury Dr",
            "city": "Bloomfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060022661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zara Naseer
• Usama Bin Nasir, M.D.
• Natural Practices, LLC
• Alan Charles Needham, MA, CCC-A
• Susan Neistein, APRN
• Jill T Nelson, APRN
• Wilbur Joseph Nelson Jr., PH.D.
• Amy Marie Neri, RN
• New Beginnings Chiropractic LLC
• Bradford Alan Newman, O.D

• Gerontology Registered Nurse in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Gerontology Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.