Active NPI
Eric Anton Federer, APRN
- Family Nurse Practitioner
- Torrington, CT
National Provider Identifier
1174509095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 003074
- Practice address
- 538 Litchfield St
Torrington, CT 06790-6669 - Phone
- (860) 489-5068
- NPI assigned
- Dec 22, 2005
- Last updated
- Jun 9, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 003074 | CT | Primary |
Addresses
Primary practice location
538 Litchfield St
Torrington, CT 06790-6669
Mailing address
27 Bell Hill Road
Washington, CT 06793
Phone (860) 868-2625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004243838 | 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 |
|---|---|---|---|
| 3074 | CT | MD | Speech-Language Pathologist |
| 003074 | CT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1174509095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 BELL HILL ROAD",
"city": "WASHINGTON",
"state": "CT",
"postal_code": "06793",
"telephone_number": "860-868-2625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 LITCHFIELD ST",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067906669",
"telephone_number": "860-489-5068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDERER",
"first_name": "ERIC",
"middle_name": "ANTON",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "003074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004243838",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrington, CT
- Mareesa Fabiaschi, MSN, APRN, FNP-C
- Brooke Fairbanks, LCSW
- Family First Community Support Services LLC
- Family Practice of Litchfield County, L.L.C.
- Allyson Denise Faucher
- Jorge Mark Fernandez-Baujin, D.M.D.
- Timothy W Ferrarotti, PA
- Cheyenne Lynne Ferris
- Dawn T. Finkelstein, OTR, CHT
- Alfred Joseph Finn, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.