Individual provider Active NPI

Sylwia Tuesta, AGPCNP-BC

  • Nurse Practitioner
  • Bloomfield, CT
National Provider Identifier
1083190243
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
12.007715 Issued in CT
Practice address
140 Park Ave
Bloomfield, CT 06002-3207
Phone
(860) 243-9591
NPI assigned
Jul 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 10.127652 CT
Nurse Practitioner 363L00000X 12.007715 CT Primary

Addresses

Primary practice location

140 Park Ave
Bloomfield, CT 06002-3207

Mailing address

94 Cabot St
New Britain, CT 06053-2946
Phone (860) 331-0660

Other names 1

  • Miss Sylwia Szumska Former name

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
I20181127001325 CT Practitioner - Nurse Practitioner 0143564435 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10.127652CTMDRegistered Nurse
12.007715CTMDNurse Practitioner

Organizations & group practices 1

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": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1083190243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 CABOT ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060532946",
            "telephone_number": "860-331-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PARK AVE",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023207",
            "telephone_number": "860-243-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUESTA",
        "first_name": "SYLWIA",
        "name_prefix": "Miss",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "10.127652",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "12.007715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYLWIA",
            "last_name": "SZUMSKA",
            "prefix": "MISS",
            "credential": "AGPCNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.