Individual provider Active NPI

Garrett Whittaker

  • Family Nurse Practitioner
  • Torrington, CT
National Provider Identifier
1174149462
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8900 Issued in CT
Practice address
1000 E Main St
Torrington, CT 06790-3909
Phone
(860) 496-6884
Fax
(860) 496-2675
NPI assigned
Jun 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8900 CT Primary

Addresses

Primary practice location

1000 E Main St
Torrington, CT 06790-3909

Mailing address

1290 Silas Deane Hwy
Hartford Healthcare-Cvo
Wethersfield, CT 06109-4337

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
I20211115000805 CT Practitioner - Nurse Practitioner 3274922125 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Healthcare, PCGroup PAC ID 6709787930, 67 clinicians

Practice addresses (Care Compare)

19 Woodland St
Suite 43
Hartford, CT 06105-2335
Phone (860) 549-4600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc CurrentSince Aug 15, 2022 Accepting new patients
Prime Healthcare (Sleep Lab) CurrentSince Nov 1, 2023 Accepting new patients
Prime Healthcare, PC Family Current Accepting new patients

Locations

9 Cranbrook Blvd
Fl 2
Enfield, CT 06082
Phone (860) 242-8591

19 Woodland St
Ste 43
Hartford, CT 06105
Phone (860) 549-4600

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1000 E Main St
Torrington, CT 06790
Phone (860) 496-2675

2271 E Main St
Waterbury, CT 06705
Phone (203) 465-6400

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253

Interoperability endpoints

  • Direct secure messaging: garrett.whittaker.p1@direct.wheelerclinic.nextgenshare.com
  • Direct secure messaging: garrett.whittaker.1@31712.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1174149462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "address_2": "HARTFORD HEALTHCARE-CVO",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MAIN ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903909",
            "telephone_number": "860-496-6884",
            "fax_number": "860-496-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "GARRETT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.