Individual provider Active NPI

Angeline Fleurimond

  • Family Nurse Practitioner
  • North Haven, CT
National Provider Identifier
1104491935
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006426 Issued in FL
Practice address
116 Washington Ave Ste 3
North Haven, CT 06473-1721
Phone
(855) 850-0638
Fax
(833) 973-4054
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11330 CT
Family Nurse Practitioner 363LF0000X APRN.CNP.0041729 OH
Family Nurse Practitioner 363LF0000X GAA-NP001084 GA
Family Nurse Practitioner 363LF0000X APRN11006426 FL Primary
Family Nurse Practitioner 363LF0000X ARNP.AP.70150316-NP WA
Family Nurse Practitioner 363LF0000X NP500341276 DC
Family Nurse Practitioner 363LF0000X 1112075 TX
Family Nurse Practitioner 363LF0000X 0024196809 VA

Addresses

Primary practice location

116 Washington Ave Ste 3
North Haven, CT 06473-1721

Mailing address

9911 Jackfruit CT
Riverview, FL 33578-3321
Phone (561) 628-4477

Other practice location 1

3430 Ohiohealth Pkwy
Columbus, OH 43202-1575
Phone (855) 850-0638

Other practice location 2

1200 Binz St Ste 1490
Houston, TX 77004-6946
Phone (855) 850-0638

Other practice location 3

3715 Northside Pkwy NW Ste 550
Atlanta, GA 30327-2886
Phone (855) 850-0638

Other practice location 4

3300 S Fiske Blvd Bldg A
Rockledge, FL 32955-4306
Phone (855) 850-0638

Other practice location 5

4910 Massachusetts Ave NW Ste 114
Washington, DC 20016-4384
Phone (855) 850-0638

Other practice location 6

1665 Antilley Rd
Abilene, TX 79606-5265
Phone (855) 850-0638

Other practice location 7

55 W Tietan St
Walla Walla, WA 99362-4445
Phone (855) 850-0638

Other practice location 8

950 N Glebe Rd Ste 700
Arlington, VA 22203-4173
Phone (855) 850-0638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, TX, FL, GA, DC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20230621001093 CT Practitioner - Nurse Practitioner 7517325731 Reassigns benefits to 1 organization
I20230927001741 TX Practitioner - Nurse Practitioner 7517325731 Reassigns benefits to 1 organization
I20260314000115 FL Practitioner - Nurse Practitioner 7517325731 Reassigns benefits to 1 organization
I20260324000570 GA Practitioner - Nurse Practitioner 7517325731 Reassigns benefits to 1 organization
I20260514000464 DC Practitioner - Nurse Practitioner 7517325731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501

3300 S Fiske Blvd
BLDG a
Rockledge, FL 32955-4306
Phone (321) 434-5055

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 4000
Arlington, VA 22203-1824

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11330CTMDFamily Nurse Practitioner
APRN11006426FLMDFamily Nurse Practitioner
GAA-NP001084GAMDFamily Nurse Practitioner
1112075TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health, Inc. Family CurrentSince Mar 1, 2024 Accepting new patients
Privia Medical Group West Texas, PLLC CurrentSince Mar 1, 2026 Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Mar 5, 2026 Accepting new patients
Privia Medical Group West Texas, PLLC CurrentSince Mar 1, 2026 Accepting new patients
Privia Virtual Health - Connecticut PLLC PastSince Aug 11, 2024 Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

1229 Albany Ave
Hartford, CT 06112
Phone (860) 524-9820

1665 Antilley Rd
Ste 200
Abilene, TX 79606
Phone (325) 793-5100

Interoperability endpoints

  • Direct secure messaging: angelina.fleurimond.1@14883.direct.athenahealth.com

Organizations & group practices 7

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1104491935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9911 JACKFRUIT CT",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335783321",
            "telephone_number": "561-628-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WASHINGTON AVE STE 3",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731721",
            "telephone_number": "855-850-0638",
            "fax_number": "833-973-4054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3430 Ohiohealth Pkwy",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432021575",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "833-973-3649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Binz St Ste 1490",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770046946",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "833-449-4023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3715 Northside Pkwy NW Ste 550",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303272886",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "855-474-8006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 S Fiske Blvd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329554306",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "833-449-4019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4910 Massachusetts Ave NW Ste 114",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200164384",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "855-474-8005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1665 Antilley Rd",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796065265",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "833-973-3651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 W Tietan St",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993624445",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "833-428-3618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 N Glebe Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222034173",
            "country_code": "US",
            "telephone_number": "855-850-0638",
            "fax_number": "855-474-8005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEURIMOND",
        "first_name": "ANGELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "11330",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0041729",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001084",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006426",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "ARNP.AP.70150316-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP500341276",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1112075",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024196809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.