Active NPI
Melissa Kay Tuohy, APRN, AGNP-C
- Gerontology Nurse Practitioner
- Wallingford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 12434
- Practice address
- 67 Masonic Ave Ste 2400
Wallingford, CT 06492-3099 - Phone
- (203) 793-3420
- Fax
- (203) 404-5790
- NPI assigned
- Sep 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 12434 | CT | Primary |
Addresses
Primary practice location
67 Masonic Ave Ste 2400
Wallingford, CT 06492-3099
Mailing address
7 Summerwood Dr
Wallingford, CT 06492-3430
Phone (203) 814-9864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
67 Masonic Ave
Suite 2400
Wallingford, CT 06492-3099
Phone (203) 408-2462
Hospital & facility affiliations
- Masonicare Home Health & Hospice, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Spine & Sports Medicine, PC | Nurse Practitioner | Current | Accepting new patients |
| Complete Wound Care LLC | Current | Accepting new patients |
Locations
1579 Straits Tpke
Lowr
Middlebury, CT 06762
Phone (203) 598-7246
20 Commerce Park
Ste 1
Milford, CT 06460
Phone (203) 951-8360
136 Sherman Ave
Ste 504
New Haven, CT 06511
Phone (203) 684-2111
166 Waterbury Rd
Ste 204
Prospect, CT 06712
Phone (203) 598-7246
67 Masonic Ave
Ste 2400
Wallingford, CT 06492
Phone (203) 284-3159
Interoperability endpoints
- https://app.meldrx.com/api/fhir/Freedom_ISSM
- mtuohy@iss1780.srs-direct.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Wallingford, CT
- NPI 1033801568
-
- Physical Medicine & Rehabilitation Physician
- Middlebury, CT
- NPI 1588983415
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Wallingford, CT
- NPI 1710976220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1073392817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SUMMERWOOD DR",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064923430",
"telephone_number": "203-814-9864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 MASONIC AVE STE 2400",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064923099",
"telephone_number": "203-793-3420",
"fax_number": "203-404-5790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUOHY",
"first_name": "MELISSA",
"middle_name": "KAY",
"credential": "APRN, AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-21",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CT",
"license": "12434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.