Active NPI
Ambar Paola Encarnacion Carmona, FNP-C
- Family Nurse Practitioner
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12.010203
- Practice address
- 500 Albany Ave
Hartford, CT 06120-2508 - Phone
- (860) 249-9625
- NPI assigned
- Nov 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12.010203 | CT | Primary |
Addresses
Primary practice location
500 Albany Ave
Hartford, CT 06120-2508
Mailing address
500 Albany Ave
Hartford, CT 06120-2508
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
85 Seymour St
Suite 1000
Hartford, CT 06106-5529
Phone (860) 246-2571
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12.010203 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charter Oak Health Center, Inc. | Current | Accepting new patients | |
| Connecticut Gi PLLC | Family | Current | Accepting new patients |
| Charter Oak Health Center, Inc. | Current | Accepting new patients | |
| Litchfield County Gastroenterology Associates, LLC | Past | Accepting new patients |
Locations
21 Grand St
Hartford, CT 06106
85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571
30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131
2400 Tamarack Ave
Ste 101
South Windsor, CT 06074
Phone (860) 533-4693
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Hartford, CT
- NPI 1992750855
-
- Federally Qualified Health Center (FQHC)
- Hartford, CT
- NPI 1841937679
-
- Gastroenterology Physician
- Torrington, CT
- NPI 1871513283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1093470288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ALBANY AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061202508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ALBANY AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061202508",
"telephone_number": "860-249-9625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENCARNACION CARMONA",
"first_name": "AMBAR",
"middle_name": "PAOLA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-03",
"last_updated": "2021-11-03",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "12.010203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.