Individual provider Active NPI

Danielle Sheridan, FNP-BC

  • Nurse Practitioner
  • New Haven, CT
National Provider Identifier
1144985540
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10049 Issued in CT
Practice address
800 Howard Ave
Yale Physicians Building - 4TH FL
New Haven, CT 06519-1369
Phone
(877) 925-3637
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10049 CT Primary

Addresses

Primary practice location

800 Howard Ave
Yale Physicians Building - 4TH FL
New Haven, CT 06519-1369

Mailing address

800 Howard Ave
Yale Physicians BLDG - 4TH FL
New Haven, CT 06519-1369

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
I20211119001918 CT Practitioner - Nurse Practitioner 5890184451 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10049CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Gi PLLC Nurse Practitioner CurrentSince Nov 29, 2021 Accepting new patients
Yale University CurrentSince Dec 15, 2022 Accepting new patients
Yale University CurrentSince Dec 15, 2022 Accepting new patients
Litchfield County Gastroenterology Associates, LLC PastSince Nov 1, 2021 Accepting new patients
Yale University Past Accepting new patients

Locations

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

800 Howard Ave
Bldg 4TH
New Haven, CT 06519
Phone (203) 785-2593

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

800 Howard Ave
#4
New Haven, CT 06519

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

850 N Main Street Ext
Bldg 2
Wallingford, CT 06492
Phone (203) 397-5286

850 N Main Street Ext
Ste 2B3
Wallingford, CT 06492
Phone (203) 886-0036

Interoperability endpoints

  • Direct secure messaging: driccio93408@direct.ynhh.org
  • Direct secure messaging: danielle.sheridan@xdr.hhchealthdirect.org

Organizations & group practices 5

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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1144985540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HOWARD AVE",
            "address_2": "YALE PHYSICIANS BLDG - 4TH FL",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOWARD AVE",
            "address_2": "YALE PHYSICIANS BUILDING - 4TH FL",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191369",
            "telephone_number": "877-925-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "DANIELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "10049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.