Organization Active NPI

Fletcher Enterprise LLC

  • Health Service Clinic/Center
  • Plainville, CT
National Provider Identifier
1053073122
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
FLETCHER ENTERPRISE LLC
Doing business as
Fletcher Medical services
Practice address
8 Saw Mill LN
Plainville, CT 06062-1572
Phone
(203) 379-7328
NPI assigned
Oct 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Mrs. Sareta Keturah Fletcher, APRNNPI 1306388566
Title
Manager
Phone
(203) 379-7328

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

8 Saw Mill LN
Plainville, CT 06062-1572

Mailing address

8 Saw Mill LN
Plainville, CT 06062-1572
Phone (203) 379-7328

Other identifiers 1

IdentifierTypeStateIssuer
1306388566OtherCTNPPES

Other names 1

  • Fletcher Medical services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220309002110 CT Part B Supplier - Clinic/Group Practice 8729473749 Receives reassigned benefits from 1 practitioner
Practice locations: Southington, CT

National Provider Directory

National Provider Directory

Locations

963 Queen St
Ste E
Southington, CT 06489
Phone (203) 379-7328

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1053073122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SAW MILL LN",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621572",
            "telephone_number": "203-379-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SAW MILL LN",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621572",
            "telephone_number": "203-379-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLETCHER ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "SARETA",
        "authorized_official_middle_name": "KETURAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-379-7328",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1306388566",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fletcher Medical services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fletcher Medical services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.