Lucilla Marino Acosta, REGISTERED NURSE
Individual provider Active NPI Home Health Registered Nurse · Windsor, CT
NPI 1083352249 · NPPES record last updated May 26, 2022
Key facts
- NPI
- 1083352249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 144934 (CT)
- Practice address
- 14 Barry LN
Windsor, CT 06095-2616 - Phone
- (860) 670-6383
- Fax
- (860) 248-4000
- NPI assigned
- May 26, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2355122 | MA | MD | Pediatric Registered Nurse |
| 144934 | CT | MD | Plastic Surgery Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Superior Nursing, PLLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN2355122 | MA | |
| Plastic Surgery Registered Nurse | 163WS0121X | RN2355122 | MA | |
| Pediatric Registered Nurse | 163WP0200X | 144934 | CT | |
| Home Health Registered Nurse | 163WH0200X | RN2355122 | MA | |
| Home Health Registered Nurse | 163WH0200X | 144934 | CT | Yes |
| Plastic Surgery Registered Nurse | 163WS0121X | 144934 | CT |
Addresses
Primary practice location
14 Barry LN
Windsor, CT 06095-2616
Mailing address
14 Barry LN
Windsor, CT 06095-2616
Phone (860) 670-6383
Other providers in Windsor, CT
- 581 Poquonock Avenue Opco LLC
- Kaylin Abate
- Minu Mary Abraham
- Jazmine Roxanne Aceituno
- Sandra Acheampong
- Shannon Adams
- Victoria Adetola Adedeji
- Rachel Adelsberger
- Chastity M Adger
- Advanced Ecp, PA
All providers in Windsor, CT · Home Health Registered Nurse in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.