Jacquelyn Meyer Aprn, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

JACQUELYN MEYER APRN, PLLC

Practice address

816 Broad St Ste 23
Meriden, CT 06450-4350

Phone

(203) 232-8149

NPI assigned

Nov 2, 2022

Organization subpart

No

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

Authorized official

Name

Jacquelyn Meyer, APRNNPI 1811970551

Title

Owner

Phone

(203) 232-8149

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacquelyn A Meyer, APRN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Norwalk, CT
  • NPI 1811970551
  NPD Authorized official

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1104533744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BOULDERBROOK CT # 58",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121074",
            "telephone_number": "203-232-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 BROAD ST STE 23",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504350",
            "telephone_number": "203-232-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELYN MEYER APRN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-232-8149",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "1136",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jackiemeyeraprn@gmail.com",
            "affiliation": "N",
            "address_1": "816 Broad St Ste 23",
            "city": "Meriden",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064504350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaime Irizarry, DMD
• John Emery -------------------- Istvan, LCSW
• Brandon Ito, PA-C
• Itopia LLC
• Kathryn E Jack, APRN
• Joanna Jakubowska, M.D.
• Krzysztof Jakubowski, MD
• Estelle Jeter
• Tameka Jeter
• Samantha Zhiying Jiang, RPH

• Psychiatric/Mental Health Nurse Practitioner in Meriden, CT
• Providers in Meriden, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.