Primary Health L.L.C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

003016 Issued in CT

Legal business name

PRIMARY HEALTH L.L.C

Practice address

60 Gillett St
Suite 300
Hartford, CT 06105-2637

Phone

(860) 247-2500

Fax

(860) 247-2800

NPI assigned

May 22, 2013

Organization subpart

No

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

Authorized official

Name

Olga I Colon, APRN

Title

Owner/Administrator

Phone

(860) 247-2500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1073959664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 GILLETT ST",
            "address_2": "SUITE 300",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052637",
            "telephone_number": "860-247-2500",
            "fax_number": "860-247-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 GILLETT ST",
            "address_2": "SUITE 300",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052637",
            "telephone_number": "860-247-2500",
            "fax_number": "860-247-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "860-247-2500",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "003016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Hartford, CT
• Providers in Hartford, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.