Village Primary Care, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

VILLAGE PRIMARY CARE, LLC

Practice address

200 W Center St Ste C3
Manchester, CT 06040-4870

Phone

(508) 331-3987

NPI assigned

Sep 15, 2022

Last updated

Sep 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Bernadette Quinn, APRN, ANP-BCNPI 1215233853

Title

Member

Phone

(508) 331-3987

Specialties & licenses 1

Addresses

Other names 1

• Village Primary Care, LLC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bernadette Margaret Quinn, APRN-BC

  • Adult Health Nurse Practitioner
  • Manchester, CT
  • NPI 1215233853
  NPD Authorized official

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1164144135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W CENTER ST STE C3",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404870",
            "telephone_number": "508-331-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CENTER ST STE C3",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404870",
            "telephone_number": "508-331-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "508-331-3987",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN, ANP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Primary Care, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Primary Care Nurse Practitioner in Manchester, CT
• Providers in Manchester, CT by specialty
• Primary Care Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.