Active NPI
August Primary Care Clinic LLC
- Family Nurse Practitioner
- New Britain, CT
National Provider Identifier
1144931452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- AUGUST PRIMARY CARE CLINIC LLC
- Practice address
- 909 Farmington Ave
New Britain, CT 06053-1352 - Phone
- (860) 770-6437
- NPI assigned
- Dec 7, 2022
- Last updated
- Dec 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olusola A. Obasa
- Title
- NP
- Phone
- (860) 770-6437
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
909 Farmington Ave
New Britain, CT 06053-1352
Mailing address
909 Farmington Ave
New Britain, CT 06053-1352
Phone (860) 770-6437
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2280086 | August Primary Care Clinic LLC | Certificate of waiver | Apr 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
30 Peck Rd
Bldg 1
Torrington, CT 06790
Phone (860) 201-4989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670371200000",
"number": "1144931452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 FARMINGTON AVE",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060531352",
"telephone_number": "860-770-6437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 FARMINGTON AVE",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060531352",
"telephone_number": "860-770-6437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUGUST PRIMARY CARE CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-07",
"last_updated": "2022-12-07",
"certification_date": "2022-12-07",
"status": "A",
"authorized_official_last_name": "OBASA",
"authorized_official_first_name": "OLUSOLA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "860-770-6437"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.