Active NPI
Stop the Stigma LLC
- Psychiatric/Mental Health Nurse Practitioner
- West Hartford, CT
National Provider Identifier
1053099093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- STOP THE STIGMA LLC
- Practice address
- 16 Fairfax Ave
West Hartford, CT 06119-2003 - Phone
- (240) 815-0244
- Fax
- (240) 725-9551
- NPI assigned
- Jul 10, 2023
- 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
- Nicole Evanko, PMHNP
- Title
- Owner
- Phone
- (240) 815-0244
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
16 Fairfax Ave
West Hartford, CT 06119-2003
Mailing address
16 Fairfax Ave
West Hartford, CT 06119-2003
Phone (240) 815-0244
Other practice location 1
3300 Olney Sandy Spring Rd
Olney, MD 20832-1494
Phone (240) 815-0244
National Provider Directory
National Provider DirectoryLocations
3300 Olney Sandy Spring Rd
Olney, MD 20832
Phone (240) 815-0244
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Meriden, CT
- NPI 1184210122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740355200000",
"number": "1053099093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 FAIRFAX AVE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061192003",
"telephone_number": "240-815-0244",
"fax_number": "240-725-9551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 FAIRFAX AVE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061192003",
"telephone_number": "240-815-0244",
"fax_number": "240-725-9551"
}
],
"practiceLocations": [
{
"address_1": "3300 Olney Sandy Spring Rd",
"address_purpose": "LOCATION",
"city": "Olney",
"state": "MD",
"postal_code": "208321494",
"country_code": "US",
"telephone_number": "240-815-0244",
"fax_number": "240-725-9551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "STOP THE STIGMA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-10",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A",
"authorized_official_last_name": "EVANKO",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-815-0244",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.