Nicole Lorraine Chimirri-Haley, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

224499 Issued in CT

Practice address

417 Coppermill Rd
Wethersfield, CT 06109-4075

Phone

(860) 257-9462

NPI assigned

Oct 31, 2024

Last updated

Oct 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1073335857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MERLINE RD",
            "city": "VERNON ROCKVILLE",
            "state": "CT",
            "postal_code": "060664025",
            "telephone_number": "508-331-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 COPPERMILL RD",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094075",
            "telephone_number": "860-257-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMIRRI-HALEY",
        "first_name": "NICOLE",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CT",
            "license": "224499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Registered Nurse in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• General Practice Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.