Organization Active NPI

Somers Family Practice

  • Family Nurse Practitioner
  • Somers, CT
National Provider Identifier
1205378353
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SOMERS FAMILY PRACTICE
Practice address
24 Battle St
Suite 1a
Somers, CT 06071-1629
Phone
(860) 749-8887
NPI assigned
Nov 7, 2016
Last updated
Nov 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ian TuckerNPI 1538130836
Title
Medical Director/Owner/President
Phone
(860) 749-8887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

24 Battle St
Suite 1a
Somers, CT 06071-1629

Mailing address

24 Battle St
Suite 1a
Somers, CT 06071-1629
Phone (860) 749-8887

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1205378353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BATTLE ST",
            "address_2": "SUITE 1A",
            "city": "SOMERS",
            "state": "CT",
            "postal_code": "060711629",
            "telephone_number": "860-749-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BATTLE ST",
            "address_2": "SUITE 1A",
            "city": "SOMERS",
            "state": "CT",
            "postal_code": "060711629",
            "telephone_number": "860-749-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERS FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "860-749-8887"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.