Linda S Kowalczuk, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

001329 Issued in CT

Practice address

720 Hopmeadow St
Simsbury, CT 06070-2224

Phone

(860) 651-3519

Fax

(860) 651-4133

NPI assigned

Jan 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Linda S Kowalczuk Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Masonicare Behavioral Health, LLC

  • Geriatric Psychiatry Physician
  • Wallingford, CT
  • NPI 1992781488
  NPD (past)
• Masonicare Primary Care Physicians

  • Geriatric Medicine (Internal Medicine) Physician
  • Wallingford, CT
  • NPI 1922084540
  NPD (past)
• University of Connecticut Health Center

  • Clinical Medical Laboratory
  • Farmington, CT
  • NPI 1427031293
  NPD (past)

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1124171103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HYDE ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906006",
            "telephone_number": "860-496-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HOPMEADOW ST",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702224",
            "telephone_number": "860-651-3519",
            "fax_number": "860-651-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALCZUK",
        "first_name": "LINDA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-21",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "001329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "KOWALCZUK",
            "middle_name": "S",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rebecca Mooar Kelleher, D.D.S.
• Kenneth R Finn DMD LLC
• Robert C Kevorkian, RPH
• Marvin Saul Koff, M.D.
• Kori Kollanda, RN, IBCLC
• Louisa Theresa Krause, M.S., LMFT
• L. Andrew Tolk, DC
• April Labelle
• Nataly Edmee Lapin, LPC, PSY.D
• Jaime L Levesque, MA, CCC-SLP

• Adult Health Nurse Practitioner in Simsbury, CT
• Providers in Simsbury, CT by specialty
• Adult Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.