Mary Ann Oberembt, M.S. B.C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

001354 Issued in CT

Practice address

357 Franklin Ave
Hartford, CT 06114-2540

Phone

(860) 296-4022

Fax

(860) 296-5015

NPI assigned

Dec 18, 2006

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

Other names 1

• Ms. Mary A Lagasse Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

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.

• Hartford Physician Services PC

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1164404117
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1073676748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 JORDAN LN",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091278",
            "telephone_number": "860-263-0253",
            "fax_number": "860-263-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 FRANKLIN AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061142540",
            "telephone_number": "860-296-4022",
            "fax_number": "860-296-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEREMBT",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.S. B.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "001354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "LAGASSE",
            "middle_name": "A",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Anthony O'Toole, MD
• Howard J Oakes Jr., PSYD
• Rendene D. Oakley, MSW, LCSW
• Oasis Bilingual Counseling Services, LLC.
• Suleiman Moh'D Amjad Suleiman Obeidat, MBBCH BAO
• Meghan Lisa Oberly, PA-C
• Robert M Oberstein, MD, FACE
• D'Anna Welsh Obey, PA
• Elizabeth Oblon, PA-C
• Benjamin Thomas Obringer, DO

• Adult Health Nurse Practitioner in Hartford, CT
• Providers in Hartford, CT by specialty
• Adult Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.