Active NPI
Meridith Johnson Cowperthwait, A.P.R.N.
- Pediatric Nurse Practitioner
- New Haven, CT
National Provider Identifier
1174676571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 003009
- Practice address
- 1 Long Wharf Dr
Suite 105
New Haven, CT 06511-5991 - Phone
- (203) 865-3737
- Fax
- (203) 624-0751
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 068533 | CT | |
| Pediatric Nurse Practitioner | 363LP0200X | 003009 | CT | Primary |
Addresses
Primary practice location
1 Long Wharf Dr
Suite 105
New Haven, CT 06511-5991
Mailing address
1 Long Wharf Dr
Suite 105
New Haven, CT 06511-5991
Phone (203) 865-3737
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030300 | Other | CTCARE ID | |
| 329926 | Other | PREFERRED ONE |
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003009 | CT | MD | Psychologist |
| 068533 | CT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric & Medical Associates, P.C. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- meridith.cowperthwait.1@27673.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- New Haven, CT
- NPI 1053464487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1174676571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LONG WHARF DR",
"address_2": "SUITE 105",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115991",
"telephone_number": "203-865-3737",
"fax_number": "203-624-0751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 LONG WHARF DR",
"address_2": "SUITE 105",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115991",
"telephone_number": "203-865-3737",
"fax_number": "203-624-0751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWPERTHWAIT",
"first_name": "MERIDITH",
"middle_name": "JOHNSON",
"name_prefix": "Mrs.",
"credential": "A.P.R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "068533",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CT",
"license": "003009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CTCARE ID",
"identifier": "030300",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "329926",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.