Individual provider Active NPI

Anwar Esam Abdulrehman, APRN

  • Family Nurse Practitioner
  • Waterbury, CT
National Provider Identifier
1194614255
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14982 Issued in CT
Practice address
50 Brookside Rd
Waterbury, CT 06708-1402
Phone
(203) 568-7474
NPI assigned
Jul 1, 2025
Last updated
Jun 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 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 14982 CT Primary

Addresses

Primary practice location

50 Brookside Rd
Waterbury, CT 06708-1402

Mailing address

7 Shannon RDG
Danbury, CT 06810-6326
Phone (203) 770-5698

Other practice location 1

60 Beaver Brook Rd
Danbury, CT 06810-6239
Phone (203) 743-7574

Other practice location 2

285 Kensington Ave
Meriden, CT 06451-2017
Phone (203) 608-0205

Other practice location 3

7 Shannon Rdg
Danbury, CT 06810-6326
Phone (203) 770-5698

Other practice location 4

20 N Main St
Norwalk, CT 06854-2656
Phone (203) 838-6508

Other practice location 5

4 Midland Rd
Waterbury, CT 06705-3412
Phone (203) 755-8874

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

State licenses

LicenseStateTypeSpecialty
14982CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1750234605 CurrentSince Jul 9, 2025 Accepting new patients

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1194614255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SHANNON RDG",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106326",
            "telephone_number": "203-770-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BROOKSIDE RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081402",
            "telephone_number": "203-568-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Beaver Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068106239",
            "country_code": "US",
            "telephone_number": "203-743-7574",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "285 Kensington Ave",
            "address_purpose": "LOCATION",
            "city": "Meriden",
            "state": "CT",
            "postal_code": "064512017",
            "country_code": "US",
            "telephone_number": "203-608-0205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Shannon Rdg",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068106326",
            "country_code": "US",
            "telephone_number": "203-770-5698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 N Main St",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068542656",
            "country_code": "US",
            "telephone_number": "203-838-6508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Midland Rd",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067053412",
            "country_code": "US",
            "telephone_number": "203-755-8874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDULREHMAN",
        "first_name": "ANWAR",
        "middle_name": "ESAM",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "14982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.