Active NPI
Shawn Polizzi, APRN
- Women's Health Nurse Practitioner
- Branford, CT
National Provider Identifier
1164458386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 002996
- Practice address
- 1090 Main St
Branford, CT 06405-3716 - Phone
- (203) 848-8704
- NPI assigned
- Jun 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 002996 | CT | Primary |
Addresses
Primary practice location
1090 Main St
Branford, CT 06405-3716
Mailing address
1090 Main St
Branford, CT 06405-3716
Phone (203) 848-8704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004250065 | Medicaid | CT |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002996 | CT | MD | School Social Worker |
| 2996 | CT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians for Women'S Health LLC | Women'S Health | Past | Accepting new patients |
| Women'S Health Center, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1801826680
Women'S Health
-
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- Shelton, CT
- NPI 1598899148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1164458386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 MAIN ST",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053716",
"telephone_number": "203-848-8704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 MAIN ST",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053716",
"telephone_number": "203-848-8704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLIZZI",
"first_name": "SHAWN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CT",
"license": "002996",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004250065",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Branford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.