Active NPI
Noelle O'Shea, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Fairfield, CT
National Provider Identifier
1144857962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10133
- Practice address
- 21 Sherman CT
Fairfield, CT 06824-5825 - Phone
- (203) 256-9926
- NPI assigned
- Mar 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 97278 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10133 | CT | Primary |
Addresses
Primary practice location
21 Sherman CT
Fairfield, CT 06824-5825
Mailing address
21 Sherman CT
Fairfield, CT 06824-5825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10133 | CT | MD | Clinical Social Worker |
Interoperability endpoints
- noelle.o.shea.1@18773.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1144857962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 SHERMAN CT",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 SHERMAN CT",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245825",
"telephone_number": "203-256-9926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'SHEA",
"first_name": "NOELLE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-23",
"last_updated": "2022-10-14",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "97278",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "10133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.