Patricia L. Balcom, APRN

Key facts

NPI

1164545711

Entity type

Individual (NPI type 1)

Primary specialty

Acute Care Nurse Practitioner 363LA2100X

License

003521 (CT)

Practice address

80 Seymour Street
Hartford Hospital Critical Care Medicine
Hartford, CT 06102

Phone

(860) 545-5200

NPI assigned

Apr 9, 2007

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 25, 2008.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1164545711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40,000 DEPT 634",
            "address_2": "HARTFORD HOSPITAL PROFESSIONAL SERVICES",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061510634",
            "telephone_number": "860-545-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR STREET",
            "address_2": "HARTFORD HOSPITAL CRITICAL CARE MEDICINE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06102",
            "telephone_number": "860-545-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCOM",
        "first_name": "PATRICIA",
        "middle_name": "L.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "003521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

• Lisa Susan Baker, APRN
• William Leslie Baker Jr., PHARM.D.
• Seema Prakash Bakhru, MD
• Brenda Estefania Balarezo, RN
• Fadel Balawi, M.D.
• Rachel Baldick, PA-C
• Laurel E Baldwin-Ragaven, M.D.
• Katherine Rudich Baldwin, M.D.
• Natane Baldwin
• Jessica Bali, RN

All providers in Hartford, CT · Acute Care Nurse Practitioner in Connecticut