Individual provider Active NPI

Jo Ann K Howard, APRN

  • Family Nurse Practitioner
  • Waterbury, CT
National Provider Identifier
1124888987
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14034 Issued in CT
Practice address
855 Lakewood Rd
Waterbury, CT 06704-5408
Phone
(860) 793-3500
NPI assigned
Mar 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 10.069537 CT
Family Nurse Practitioner 363LF0000X 14034 CT Primary

Addresses

Primary practice location

855 Lakewood Rd
Waterbury, CT 06704-5408

Mailing address

132 Longmeadow Dr
Wolcott, CT 06716-2241
Phone (860) 302-9920

Other practice location 1

41 Brewster Rd
Bristol, CT 06010-5141
Phone (860) 585-3000 ext. 3258

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126001386 CT Practitioner - Nurse Practitioner 4981858727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeler Clinic IncGroup PAC ID 0345147153, 105 clinicians

Practice addresses (Care Compare)

40 Hart St
New Britain, CT 06052-1759
Phone (860) 793-3500

855 Lakewood Rd
Waterbury, CT 06704-5408
Phone (860) 793-3500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10.069537CTMDRegistered Nurse
14034CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeler Clinic Inc CurrentSince Oct 21, 2024 Accepting new patients
Wheeler Clinic Inc CurrentSince Oct 21, 2024 Accepting new patients
Wolcott Volunteer Ambulance Association, Inc PastSince Oct 23, 2012 Accepting new patients

Locations

91 Northwest Dr
Plainville, CT 06062
Phone (860) 793-3871

855 Lakewood Rd
Waterbury, CT 06704
Phone (860) 414-2504

Interoperability endpoints

  • Direct secure messaging: joann.howard.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 3

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": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1124888987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 LONGMEADOW DR",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162241",
            "telephone_number": "860-302-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 LAKEWOOD RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067045408",
            "telephone_number": "860-793-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Brewster Rd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060105141",
            "country_code": "US",
            "telephone_number": "860-585-3000 x3258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "JO ANN",
        "middle_name": "K",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "10.069537",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "14034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.