Individual provider Active NPI

Heather A Roseman, A.P.R.N.

  • Acute Care Nurse Practitioner
  • Farmington, CT
National Provider Identifier
1215012786
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
001336 Issued in CT
Practice address
263 Farmington Avenue
Farmington, CT 06030-2255
Phone
(860) 679-2879
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 001336 CT Primary

Addresses

Primary practice location

263 Farmington Avenue
Farmington, CT 06030-2255

Mailing address

263 Farmington Ave
Provider Enrollment
Farmington, CT 06030-2212
Phone (860) 679-7503

Other identifiers 1

IdentifierTypeStateIssuer
1215012786MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210216003310 MA Practitioner - Nurse Practitioner 7911078233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Connecticut School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Massachusetts HospitalGroup PAC ID 0648356238, 8 clinicians

Practice addresses (Care Compare)

91 E Mountain Rd
Westfield, MA 01085-1801
Phone (413) 562-4131

91 E Mountain Rd
Westfield, MA 01085-1889

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001336CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Western Massachusetts Hospital CurrentSince Apr 30, 2021 Accepting new patients
Consulting Cardiologists, P.C. PastSince Jul 1, 2001 Accepting new patients
University of Connecticut Health Center Past Accepting new patients
Connecticut Heart Physicians, Inc. PastSince Jul 24, 2006 Accepting new patients

Locations

91 E Mountain Rd
Westfield, MA 01085
Phone (413) 562-4131

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6291/brand/1/csg/1/fhir/r4
  • Direct secure messaging: hroseman10964@direct.med.uchc.edu

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1215012786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302212",
            "telephone_number": "860-679-7503",
            "fax_number": "860-679-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302255",
            "telephone_number": "860-679-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEMAN",
        "first_name": "HEATHER",
        "middle_name": "A",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "001336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215012786",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.