Individual provider Active NPI

Tannia Alexandra Salazar, APRN

  • Family Nurse Practitioner
  • Middlebury, CT
National Provider Identifier
1174286256
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10159 Issued in CT
Practice address
900 Straits Tpke Ste C106
Middlebury, CT 06762-2865
Phone
(203) 208-9474
Fax
(860) 935-6264
NPI assigned
Oct 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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 10159 CT Primary

Addresses

Primary practice location

900 Straits Tpke Ste C106
Middlebury, CT 06762-2865

Mailing address

46 Atwood St
Middlebury, CT 06762-2932
Phone (203) 208-9474

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
I20220126001298 CT Practitioner - Nurse Practitioner 5496147324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10159CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted in Serenity Behavioral Health LLC CurrentSince Oct 21, 2025 Accepting new patients
Yale University CurrentSince Jan 20, 2022 Accepting new patients
Yale University CurrentSince Jan 20, 2022 Accepting new patients

Locations

2389 Main St
Ste 100
Glastonbury, CT 06033
Phone (203) 521-6560

900 Straits Tpke
Ste 106C
Middlebury, CT 06762
Phone (203) 208-9474

333 Cedar St
New Haven, CT 06510
Phone (203) 432-4771

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

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

Organizations & group practices 3

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": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1174286256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ATWOOD ST",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622932",
            "telephone_number": "203-208-9474",
            "fax_number": "860-935-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STRAITS TPKE STE C106",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622865",
            "telephone_number": "203-208-9474",
            "fax_number": "860-935-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "TANNIA",
        "middle_name": "ALEXANDRA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "10159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

Verify at the official NPI Registry.