Organization Active NPI

General Dynamics

  • Occupational Medicine Clinic/Center
  • Groton, CT
National Provider Identifier
1134468143
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
005240 Issued in CT
Legal business name
GENERAL DYNAMICS
Practice address
75 Eastern Point Rd
Groton, CT 06340-4905
Phone
(860) 433-2043
NPI assigned
Feb 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Authorized official

Name
Nicole Pierrette Roy, APRNNPI 1720494966
Title
Nurse Practitioner
Phone
(860) 433-2043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 005240 CT Primary

Addresses

Primary practice location

75 Eastern Point Rd
Groton, CT 06340-4905

Mailing address

75 Eastern Point Rd
Groton, CT 06340-4905

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1134468143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 EASTERN POINT RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 EASTERN POINT RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404905",
            "telephone_number": "860-433-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL DYNAMICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "PIERRETTE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "860-433-2043",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CT",
            "license": "005240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.