Individual provider Active NPI

Cristina P. Plasencia, APRN

  • Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1073801783
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
004686 Issued in CT
Practice address
26 Fairland St
Stamford, CT 06905-3701
Phone
(203) 564-0231
NPI assigned
Jul 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 004686 CT Primary

Addresses

Primary practice location

26 Fairland St
Stamford, CT 06905-3701

Mailing address

26 Fairland St
Stamford, CT 06905-3701
Phone (203) 564-0231

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120417000429 CT Practitioner - Nurse Practitioner 0244491314 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
004686CTMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England PC Nurse Practitioner CurrentSince Jan 30, 2017 Accepting new patients
Ipc Hospitalists of New England, P.C. Nurse Practitioner CurrentSince Jan 30, 2017 Accepting new patients
Inhouse Care LLC PastSince Apr 16, 2019 Accepting new patients

Locations

380 Crown St
Meriden, CT 06450
Phone (203) 237-4338

169 Davenport Ave
New Haven, CT 06519
Phone (203) 789-1650

31 Vauxhall St
New London, CT 06320
Phone (203) 789-1650

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

53 Courtland Ave
Stamford, CT 06902
Phone (203) 351-8300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1073801783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FAIRLAND ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069053701",
            "telephone_number": "203-564-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 FAIRLAND ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069053701",
            "telephone_number": "203-564-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASENCIA",
        "first_name": "CRISTINA",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "004686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.