Individual provider Active NPI

Catherine A Hosterman, APRN

  • Family Nurse Practitioner
  • Lakeville, CT
National Provider Identifier
1174548960
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
002560 Issued in CT
Practice address
11 Interlaken Rd
Lakeville, CT 06039
Phone
(860) 435-3226
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 002560 CT Primary

Addresses

Primary practice location

11 Interlaken Rd
Lakeville, CT 06039

Mailing address

118 College St
Litchfield, CT 06759-4206
Phone (860) 672-0105

Other practice location 1

21 Elm St
New Milford, CT 06776-2915
Phone (860) 350-7283

Other identifiers 5

IdentifierTypeStateIssuer
002560OtherCTAPRN
E60405OtherCTRN LICENSE
06-1088532OtherTAX ID #
5217495MedicaidCT
31374OtherCTCT CONTROLLED SUBSTANCE

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
I20040301000301 CT Practitioner - Nurse Practitioner 9234026709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

469 Migeon Ave
Torrington, CT 06790-4643
Phone (860) 489-0931

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002560CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health and Wellness Center of Greater Torrington Inc CurrentSince Jan 29, 2025 Accepting new patients
Community Health and Wellness Center of Greater Torrington Inc CurrentSince Jan 29, 2025 Accepting new patients
Community Health & Wellness Center of Greater Torrington Past Accepting new patients

Locations

6 E Main St
Ste 8
Canaan, CT 06018

469 Migeon Ave
Torrington, CT 06790
Phone (860) 387-0439

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.

Hospital & facility affiliations 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174548960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 COLLEGE ST",
            "city": "LITCHFIELD",
            "state": "CT",
            "postal_code": "067594206",
            "telephone_number": "860-672-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 INTERLAKEN RD",
            "city": "LAKEVILLE",
            "state": "CT",
            "postal_code": "06039",
            "telephone_number": "860-435-3226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Elm St",
            "address_purpose": "LOCATION",
            "city": "New Milford",
            "state": "CT",
            "postal_code": "067762915",
            "country_code": "US",
            "telephone_number": "860-350-7283",
            "fax_number": "860-496-4951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSTERMAN",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "002560",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "E60405",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "06-1088532",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5217495",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT CONTROLLED SUBSTANCE",
            "identifier": "31374",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, CT

Sources for this page

Verify at the official NPI Registry.